Provider Demographics
NPI:1417180324
Name:AMIRAFSHARI, AKBAR (MD)
Entity Type:Individual
Prefix:DR
First Name:AKBAR
Middle Name:
Last Name:AMIRAFSHARI
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 1:2418 NANTUCKET DR UNIT C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4806
Mailing Address - Country:US
Mailing Address - Phone:713-478-9647
Mailing Address - Fax:713-370-7691
Practice Address - Street 1:2418 NANTUCKET DR UNIT C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4806
Practice Address - Country:US
Practice Address - Phone:713-478-9647
Practice Address - Fax:713-370-7691
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7389208G00000X, 208600000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX283634810Medicaid
TX283634810Medicaid