Provider Demographics
NPI:1619081304
Name:AKBAR, SALMAN M (MD)
Entity Type:Individual
Prefix:
First Name:SALMAN
Middle Name:M
Last Name:AKBAR
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 1:7834 FOREST HILL AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-1974
Mailing Address - Country:US
Mailing Address - Phone:804-330-5452
Mailing Address - Fax:804-337-9950
Practice Address - Street 1:7834 FOREST HILL AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-1974
Practice Address - Country:US
Practice Address - Phone:804-330-5452
Practice Address - Fax:804-337-9950
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054336207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA20949OtherCARENET
VA217462OtherANTHEM
VA5846005Medicaid
VA5846005Medicaid
VA20949OtherCARENET
VA110007767Medicare ID - Type Unspecified