Provider Demographics
NPI:1568571453
Name:AKBAR, SELINA (MD)
Entity Type:Individual
Prefix:DR
First Name:SELINA
Middle Name:
Last Name:AKBAR
Suffix:
Gender:F
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 1:200 S WENONA ST
Mailing Address - Street 2:STE. 225
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-8820
Mailing Address - Country:US
Mailing Address - Phone:989-893-9705
Mailing Address - Fax:989-893-8206
Practice Address - Street 1:200 S WENONA ST
Practice Address - Street 2:STE. 225
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-8820
Practice Address - Country:US
Practice Address - Phone:989-893-9705
Practice Address - Fax:989-893-8206
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301068688207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1100910171OtherBLUE CARE NETWORK
MI352179379100OtherCOMMUNITY CHOICE
MIFEPOther1100910171
MI0994259OtherHEALTH PLUS OF MI
MI22561OtherPRIORITY HEALTH
MI4441246Medicaid
MI1100910171OtherBCBSM
MI7420427OtherAETNA
MI1007080OtherMCLAREN ADVANTAGE
MIP00012362OtherUNITED HEALTHCARE
MI1100910171OtherBCBSM
MIH75776Medicare UPIN