Healthcare Provider Details

I. General information

NPI: 1982952453
Provider Name (Legal Business Name): ANITA AKHTAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 HOSPITAL CENTER BLVD STE 221
STAFFORD VA
22554-6203
US

IV. Provider business mailing address

125 HOSPITAL CENTER BLVD STE 221
STAFFORD VA
22554-6203
US

V. Phone/Fax

Practice location:
  • Phone: 540-899-3595
  • Fax:
Mailing address:
  • Phone: 540-899-3595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number29103
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number280350
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number0101284374
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number29103
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: