Provider Demographics
NPI:1558307967
Name:AKHTAR, MUHAMMAD JAVED (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:JAVED
Last Name:AKHTAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 PLEASANT ST
Mailing Address - Street 2:SUITE# 2
Mailing Address - City:BRADFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16701-1081
Mailing Address - Country:US
Mailing Address - Phone:814-362-5503
Mailing Address - Fax:814-362-4636
Practice Address - Street 1:195 PLEASANT ST
Practice Address - Street 2:SUITE# 2
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-1081
Practice Address - Country:US
Practice Address - Phone:814-362-5503
Practice Address - Fax:814-362-4636
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15410501207Y00000X
PAMD026254E207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C30480Medicare UPIN
NYCC7611Medicare ID - Type Unspecified
PAAK112261Medicare ID - Type Unspecified