Healthcare Provider Details

I. General information

NPI: 1407941164
Provider Name (Legal Business Name): SYED M AKHTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/20/2021
Certification Date: 08/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 E WEISGARBER RD STE 230
KNOXVILLE TN
37909-2676
US

IV. Provider business mailing address

PO BOX 415000-MSC8144
NASHVILLE TN
37241-8144
US

V. Phone/Fax

Practice location:
  • Phone: 865-251-1960
  • Fax: 865-544-6572
Mailing address:
  • Phone: 865-670-6199
  • Fax: 865-670-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number29885
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: