Provider Demographics
NPI:1346215167
Name:TALHOUK, AKRAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:AKRAM
Middle Name:S
Last Name:TALHOUK
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 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8235
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:
Practice Address - Street 1:85 HIGH ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1149
Practice Address - Country:US
Practice Address - Phone:716-857-8648
Practice Address - Fax:716-250-5946
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153555-1208600000X
NY153555207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00026142901OtherUNIVERA
NY040426002112OtherFIDELIS
NY161000580OtherNORTH AMERICAN PREFERRED
NY161000580OtherEMPIRE
NY020054078OtherRR MEDICARE
NY161000580OtherNOVA
NY1711526OtherIHA
NY000526970001OtherHEALTH NOW
NY01530547Medicaid
NY153555-8BOtherWORKERS COMP