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NPI Code Detail

MEDICARE: NASIM AKHTAR M.D.

MEDICARE: NASIM 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
1207RC0000XCardiovascular Disease PhysicianE3638TX
2207RI0011XInterventional Cardiology PhysicianE3638TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101253798OTHERTXAMERIGROUP
24036131OTHERAETNA PROVIDER ID
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
486464KOTHERTXBCBS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952352825
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASIM AKHTAR M.D.
Provider Business Mailing Address
First Line : 1017 12TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3915
Country : US
Telephone Number : 817-334-2800
Fax Number : 817-336-1954
Provider Business Practice Location Address
First Line : 1017 12TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3915
Country : US
Telephone Number : 817-334-2800
Fax Number : 817-336-1954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 08/10/2009

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Directions to “ NASIM AKHTAR M.D.” Practice Location

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