Provider Demographics
NPI:1629402003
Name:AKRAM, HASSAN MUHAMMAD (DO)
Entity Type:Individual
Prefix:DR
First Name:HASSAN
Middle Name:MUHAMMAD
Last Name:AKRAM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:407-347-4787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13566208M00000X
FLOS 13566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018056900Medicaid