Provider Demographics
NPI:1437155181
Name:AKHUND, LAILA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAILA
Middle Name:
Last Name:AKHUND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAILA
Other - Middle Name:
Other - Last Name:AKHUND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:79 DUKE ST
Mailing Address - Street 2:UNIT 13
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3849
Mailing Address - Country:US
Mailing Address - Phone:401-885-1532
Mailing Address - Fax:401-885-1532
Practice Address - Street 1:20 PATRIOT PL
Practice Address - Street 2:
Practice Address - City:FOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:02035-1375
Practice Address - Country:US
Practice Address - Phone:508-718-4050
Practice Address - Fax:501-718-4050
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD10762207R00000X
MA226807207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000044649OtherBOSTON MEDICAL CENTER
MA2117177Medicaid
MAAA98069OtherPILGRIM HEALTH CARE
MAP00373184OtherRAILROAD MEDICARE
MA737323OtherTUFTS
RI9022628Medicaid
MAJ40414OtherBLUE CROSS BLU SHIELD OF MASS
MA96427402OtherNETWORK HEALTH
MA2117177Medicaid
MAAA98069OtherPILGRIM HEALTH CARE
MA737323OtherTUFTS
RI9022628Medicaid