MEDICARE: RIZWAN 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	207RN0300X	Nephrology Physician	34262	KY

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	:	1669695649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIZWAN AKHTAR M.D.

Provider Business Mailing Address
First Line	:	6400 DUTCHMANS PKWY
Second Line	:	SUITE 250
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3340
Country	:	US
Telephone Number	:	502-587-9660
Fax Number	:	502-540-5615

Provider Business Practice Location Address
First Line	:	1036 CENTER DR
Second Line	:	SUITE A
City	:	RICHMOND
State	:	KY
Zip	:	40475-3838
Country	:	US
Telephone Number	:	859-626-1700
Fax Number	:	859-626-1702

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	02/03/2014

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