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NPI Code Detail

MEDICARE: ANEEKA AKHTAR PA-C

MEDICARE: ANEEKA AKHTAR PA-C
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
1363A00000XPhysician AssistantPA14801TX

General Provider Information

NPI Number : 1477183242
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANEEKA AKHTAR PA-C
Provider Business Mailing Address
First Line : 11511 SHADOW CREEK PKWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7298
Country : US
Telephone Number : 713-442-0000
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N RENAISSANCE BLVD NE STE C
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-7002
Country : US
Telephone Number : 505-266-5565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2020
Last Update Date : 09/12/2023

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