Provider Demographics
NPI:1124026414
Name:AKMAL, NAYEEM (MD)
Entity Type:Individual
Prefix:
First Name:NAYEEM
Middle Name:
Last Name:AKMAL
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 1:2020 HONEY CREEK PKWY SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-2974
Mailing Address - Country:US
Mailing Address - Phone:770-929-0813
Mailing Address - Fax:770-922-8653
Practice Address - Street 1:2020 HONEY CREEK PKWY SE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-2974
Practice Address - Country:US
Practice Address - Phone:770-929-0813
Practice Address - Fax:770-929-3868
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA055168207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IZZ150Medicare UPIN