Provider Demographics
NPI:1508502014
Name:AKHTER, HARIS MUJTABA (BS)
Entity Type:Individual
Prefix:
First Name:HARIS
Middle Name:MUJTABA
Last Name:AKHTER
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4163 CASS ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1747
Mailing Address - Country:US
Mailing Address - Phone:402-709-9177
Mailing Address - Fax:
Practice Address - Street 1:668 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-3006
Practice Address - Country:US
Practice Address - Phone:402-709-9177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-08
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program