Provider Demographics
NPI:1033554415
Name:MUWWAKKIL, AKMAL TALIB (ACUPUNCTRE)
Entity Type:Individual
Prefix:
First Name:AKMAL
Middle Name:TALIB
Last Name:MUWWAKKIL
Suffix:
Gender:M
Credentials:ACUPUNCTRE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 MITCHELLVILLE RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3104
Mailing Address - Country:US
Mailing Address - Phone:301-249-2445
Mailing Address - Fax:301-249-5029
Practice Address - Street 1:4000 MITCHELLVILLE ROAD,
Practice Address - Street 2:SUITE 304
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-0000
Practice Address - Country:US
Practice Address - Phone:301-249-2445
Practice Address - Fax:301-249-5029
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02056171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist