MEDICARE: DR. JAMIL AKHTAR M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0203X	Pediatric Critical Care Medicine Physician	192067	NY

General Provider Information

NPI Number	:	1144294794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIL AKHTAR M.D

Provider Business Mailing Address
First Line	:	1768 MIDLAND DR
Second Line	:
City	:	EAST MEADOW
State	:	NY
Zip	:	11554-5023
Country	:	US
Telephone Number	:	718-240-0424
Fax Number	:

Provider Business Practice Location Address
First Line	:	2094 PITKIN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-3509
Country	:	US
Telephone Number	:	718-240-0424
Fax Number	:	718-240-0564

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	07/08/2007

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