Provider Demographics
NPI:1083701783
Name:AKHTER, MOHAMMAD F (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:F
Last Name:AKHTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 ROUTE 9 STE 13
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4993
Mailing Address - Country:US
Mailing Address - Phone:845-632-3290
Mailing Address - Fax:845-632-3292
Practice Address - Street 1:1285 ROUTE 9
Practice Address - Street 2:SUITE 13
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4993
Practice Address - Country:US
Practice Address - Phone:845-632-3291
Practice Address - Fax:845-632-3292
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207475-1207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01918565Medicaid
10031900OtherCDPHP
760746503OtherPOMCO
760746503OtherGHI
117517OtherMVP
193401OtherWELLCARE
4898417OtherCIGNA
P2578062OtherOXFORD
P2578062OtherOXFORD
NY01918565Medicaid