MEDICARE: TAHIRA AKBAR 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	208D00000X	General Practice Physician	ME160173	FL
2	2084P0800X	Psychiatry Physician	ME160173	FL
3	2084P0805X	Geriatric Psychiatry Physician	ME160173	FL
4	2084P0800X	Psychiatry Physician	329919	NY
5	2084P0800X	Psychiatry Physician	25MA12014700	NJ

General Provider Information

NPI Number	:	1396126652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAHIRA AKBAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 24449
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-0589
Country	:	US
Telephone Number	:	833-351-8255
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 BROOKSIDE DR
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-6352
Country	:	US
Telephone Number	:	201-965-3144
Fax Number	:

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

Provider Enumeration Date	:	06/12/2015
Last Update Date	:	04/14/2026

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