Provider Demographics
NPI:1871666701
Name:AKHTAR, MUHAMMAD NASIM (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:NASIM
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 1:3960 BROWN PARK DR STE E
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1294
Mailing Address - Country:US
Mailing Address - Phone:614-527-4996
Mailing Address - Fax:614-559-0445
Practice Address - Street 1:3960 BROWN PARK DR STE E
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1294
Practice Address - Country:US
Practice Address - Phone:614-527-4996
Practice Address - Fax:614-559-0445
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350774012084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2153664Medicaid
OHAK4025511Medicare ID - Type Unspecified
OH2153664Medicaid