Provider Demographics
NPI:1407941164
Name:AKHTER, SYED M (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:M
Last Name:AKHTER
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 415000-MSC8144
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37241-8144
Mailing Address - Country:US
Mailing Address - Phone:865-670-6199
Mailing Address - Fax:865-670-6198
Practice Address - Street 1:1128 E WEISGARBER RD STE 230
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2676
Practice Address - Country:US
Practice Address - Phone:865-251-1960
Practice Address - Fax:865-544-6572
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2021-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN29885208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
G64986Medicare UPIN