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1205833787

NPI Code Detail

MEDICARE: DR. M NAYEEM AKHTAR M.D.

MEDICARE: DR. M NAYEEM 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	207RG0100X	Gastroenterology Physician	MD047557L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	100016274	OTHER	PR	RAILROAD MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02882100	OTHER	PA	CAPITAL BC GROUP ID
2	2830222	OTHER	PA	AETNA HEALTH PLANS ID
3	7991768	OTHER	PA	GATEWAY HEALTH PLAN ID
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	01018301	OTHER	PA	CAPITAL BC INDIVIDUAL ID
8	742235	OTHER	PA	HIGHMARK BS INDIVIDUAL ID
9	1386458	OTHER	PA	HIGHMARK BS GROUP ID
10	8722	OTHER	PA	GEISINGER HEALTH PLAN ID
11	1386458	OTHER	PA	KEYSTONE HEALTH PLAN ID

General Provider Information

NPI Number	:	1205833787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. M NAYEEM AKHTAR M.D.

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 HOSPITAL RD.
Second Line	:
City	:	COAL TOWNSHIP
State	:	PA
Zip	:	17866
Country	:	US
Telephone Number	:	570-644-4325
Fax Number	:	570-644-4239

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	07/15/2020

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Directions to “ DR. M NAYEEM AKHTAR M.D.” Practice Location

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