MEDICARE: DR. ALEENA FAROOQ AKBAR DDS

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	1223G0001X	General Practice Dentistry	LL840	MD
2	1223G0001X	General Practice Dentistry	30.025930	OH
3	1223G0001X	General Practice Dentistry	DN123508	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598262404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEENA FAROOQ AKBAR DDS

Provider Business Mailing Address
First Line	:	2127 COVE RIDGE CT
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-3247
Country	:	US
Telephone Number	:	678-467-2995
Fax Number	:

Provider Business Practice Location Address
First Line	:	2127 COVE RIDGE CT
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-3247
Country	:	US
Telephone Number	:	678-467-2995
Fax Number	:

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

Provider Enumeration Date	:	04/07/2018
Last Update Date	:	01/21/2025

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