Provider Demographics
NPI:1356510838
Name:MOHAMAD JAMIL AKBIK, M.D., P.C.
Entity Type:Organization
Organization Name:MOHAMAD JAMIL AKBIK, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JO
Authorized Official - Middle Name:C
Authorized Official - Last Name:AKBIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-529-7138
Mailing Address - Street 1:2996 KATE BOND RD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-4030
Mailing Address - Country:US
Mailing Address - Phone:901-529-7138
Mailing Address - Fax:901-590-3996
Practice Address - Street 1:2996 KATE BOND RD
Practice Address - Street 2:SUITE 403
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-4030
Practice Address - Country:US
Practice Address - Phone:901-529-7138
Practice Address - Fax:901-590-3996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD113982086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3382996Medicare PIN