Provider Demographics
NPI:1114413150
Name:AKBARI, RAJESHKUMAR RAMNIKBHAI
Entity Type:Individual
Prefix:
First Name:RAJESHKUMAR
Middle Name:RAMNIKBHAI
Last Name:AKBARI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 RINGER LN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:IN
Mailing Address - Zip Code:47993-8900
Mailing Address - Country:US
Mailing Address - Phone:765-762-4170
Mailing Address - Fax:
Practice Address - Street 1:1731 RINGER LN
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:IN
Practice Address - Zip Code:47993-8900
Practice Address - Country:US
Practice Address - Phone:765-762-4170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01085045A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine