Provider Demographics
NPI:1477844421
Name:AKHTER, ROWSONARA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROWSONARA
Middle Name:
Last Name:AKHTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WILDERNESS DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3415
Mailing Address - Country:US
Mailing Address - Phone:609-922-5260
Mailing Address - Fax:856-912-8135
Practice Address - Street 1:11 E LAUREL RD
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1322
Practice Address - Country:US
Practice Address - Phone:609-922-5260
Practice Address - Fax:856-912-8135
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09455100207R00000X, 207R00000X
PAMT197604207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD10402400OtherINTERNAL MEDIICNE
NJ0417050Medicaid