Provider Demographics
NPI:1689669616
Name:AKMAL, MOHAMMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:
Last Name:AKMAL
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 1:12821 OAK HILL AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2940
Mailing Address - Country:US
Mailing Address - Phone:240-313-0171
Mailing Address - Fax:
Practice Address - Street 1:12821 OAK HILL AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2940
Practice Address - Country:US
Practice Address - Phone:240-313-0171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD072198L207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA227936OtherUNISON
PA6802729OtherAETNA HMO (PMFC)
PA7860753OtherAETNA NON-HMO
PA050514OtherMEDICARE GROUP #
PA2183091OtherMAMSI
PA50083152OtherCAPITAL BLUECROSS (PMFC)
PA1763630OtherAETNA HMO (AFC)
PA25-1716306OtherINFORMED
PA25-1716306OtherINTERGROUP
PAG920-0074/85XWCUOtherCAREFIRST (AFC)
PAG920-0074/914765-04OtherCAREFIRST (PMFC)
PA25-1716306OtherDEVON
PA25-1716306OtherHEALTHNET/TRICARE
PA916133OtherHIGHMARK BLUE SHIELD
PA50073148OtherCAPITAL BLUE CROSS (AFC)
PA120420418OtherDEPT OF LABOR
PA25-1716306OtherMULTIPLAN/PHCS
PA1569261OtherGATEWAY
PAMD072198LOtherLICENSE
PA001819950Medicaid
PA25-1716306OtherSOUTH CENTRAL
PA25-1716306OtherFIRST HEALTH (AFC)
PAP00458411OtherRAILROAD MEDICARE
PAPEARLOtherHEALTH AMERICA (AFC)
PAPEARLOtherHEALTH AMERICA (AFC)
PA25-1716306OtherMULTIPLAN/PHCS