Healthcare Provider Details

I. General information

NPI: 1346502531
Provider Name (Legal Business Name): AKRAM ABD EL KADER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 OLD SHEPARD PL STE 402
PLANO TX
75093-5275
US

IV. Provider business mailing address

4601 OLD SHEPARD PL STE 402
PLANO TX
75093-5275
US

V. Phone/Fax

Practice location:
  • Phone: 469-833-2675
  • Fax: 866-493-3732
Mailing address:
  • Phone: 704-493-5121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number89987312
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberBP10042841
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: