Provider Demographics
NPI:1083638449
Name:AKHTAR, AMINA (MD)
Entity Type:Individual
Prefix:
First Name:AMINA
Middle Name:
Last Name:AKHTAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMINA
Other - Middle Name:AKHTAR
Other - Last Name:NAJAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:350 ALBERTA DRIVE
Mailing Address - Street 2:SUITES 102-105
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-834-4060
Mailing Address - Fax:716-834-4035
Practice Address - Street 1:350 ALBERTA DRIVE
Practice Address - Street 2:SUITES 102-105
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-834-4060
Practice Address - Fax:716-834-4035
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1564212085R0202X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00025286001OtherUNIVERA
000500486009OtherBLUE CROSS
1608420OtherINDEPENDENT HEALTH
NY00844431Medicaid
DD0688Medicare ID - Type Unspecified
NY00844431Medicaid