Provider Demographics
NPI:1558086058
Name:AKRAM HEALTH PA
Entity Type:Organization
Organization Name:AKRAM HEALTH PA
Other - Org Name:MAMBA PHYSICIAN CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:AKRAM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:407-347-4787
Mailing Address - Street 1:15835 SHADDOCK DR STE 120
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5778
Mailing Address - Country:US
Mailing Address - Phone:407-347-4787
Mailing Address - Fax:
Practice Address - Street 1:15835 SHADDOCK DR STE 120
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-5778
Practice Address - Country:US
Practice Address - Phone:734-673-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty