Provider Demographics
NPI:1760917850
Name:AKBARY, FAUZIA (MD)
Entity Type:Individual
Prefix:MS
First Name:FAUZIA
Middle Name:
Last Name:AKBARY
Suffix:
Gender:F
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:PO BOX 1331
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-1331
Mailing Address - Country:US
Mailing Address - Phone:870-932-7024
Mailing Address - Fax:870-930-9377
Practice Address - Street 1:800 S CHURCH ST STE 302
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4107
Practice Address - Country:US
Practice Address - Phone:870-935-3990
Practice Address - Fax:870-935-0871
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-26
Last Update Date:2023-10-11
Deactivation Date:2017-11-27
Deactivation Code:
Reactivation Date:2017-12-11
Provider Licenses
StateLicense IDTaxonomies
ARE-14753207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology