=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114413150
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RAJESHKUMAR RAMNIKBHAI AKBARI
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/02/2018
-----------------------------------------------------
Last Update Date | 11/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1731 RINGER LN
-----------------------------------------------------
City | WILLIAMSPORT
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47993-8900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-762-4170
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1731 RINGER LN
-----------------------------------------------------
City | WILLIAMSPORT
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47993-8900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-762-4170
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 01085045A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------