Provider Demographics
NPI:1720006760
Name:MATIAS AKHTAR, MARY T (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:T
Last Name:MATIAS AKHTAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10700 MONTGOMERY RD STE 220
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3260
Mailing Address - Country:US
Mailing Address - Phone:513-654-6675
Mailing Address - Fax:513-912-0932
Practice Address - Street 1:10700 MONTGOMERY RD STE 220
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-3260
Practice Address - Country:US
Practice Address - Phone:513-654-6675
Practice Address - Fax:513-912-0932
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH350838002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry