Provider Demographics
NPI:1396820759
Name:HASSAM, AKBER (MD)
Entity Type:Individual
Prefix:
First Name:AKBER
Middle Name:
Last Name:HASSAM
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 1:2 FON CLAIR TER
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12095-3100
Mailing Address - Country:US
Mailing Address - Phone:518-762-5252
Mailing Address - Fax:518-762-3784
Practice Address - Street 1:2 FON CLAIR TER
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:NY
Practice Address - Zip Code:12095-3100
Practice Address - Country:US
Practice Address - Phone:518-762-5252
Practice Address - Fax:518-762-3784
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1527701207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease