Provider Demographics
NPI:1831291863
Name:AKHTAR, NAEEM M (MD)
Entity Type:Individual
Prefix:DR
First Name:NAEEM
Middle Name:M
Last Name:AKHTAR
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 1:451 E ALMOND AVE
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5562
Mailing Address - Country:US
Mailing Address - Phone:559-673-4000
Mailing Address - Fax:559-673-3661
Practice Address - Street 1:451 E ALMOND AVE STE 103
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5562
Practice Address - Country:US
Practice Address - Phone:559-673-4000
Practice Address - Fax:559-673-3661
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA450510207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A450510Medicaid
CA00A450510Medicare PIN