Provider Demographics
NPI:1558580365
Name:AKRAM, JAVED (MD)
Entity Type:Individual
Prefix:MR
First Name:JAVED
Middle Name:
Last Name:AKRAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22067 AUCTION BARN DR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-4111
Mailing Address - Country:US
Mailing Address - Phone:703-729-8856
Mailing Address - Fax:
Practice Address - Street 1:7101 JAHNKE RD STE 611
Practice Address - Street 2:VIRGINIA HOSPITALIST
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-327-4046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237436208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1558580365Medicaid
VA014347V16Medicare PIN
VAP00415110Medicare PIN