Provider Demographics
NPI:1376903203
Name:AKHTAR, MUHAMMD SAEED (PT)
Entity Type:Individual
Prefix:
First Name:MUHAMMD
Middle Name:SAEED
Last Name:AKHTAR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 SUTHERLAND DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3464
Mailing Address - Country:US
Mailing Address - Phone:586-822-1138
Mailing Address - Fax:
Practice Address - Street 1:4704 SUTHERLAND DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3464
Practice Address - Country:US
Practice Address - Phone:586-822-1138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist