Provider Demographics
NPI:1891786299
Name:AKBAR, MUHAMMAD SOHAIL (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:SOHAIL
Last Name:AKBAR
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 1:890 2ND ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-6863
Mailing Address - Country:US
Mailing Address - Phone:478-745-4322
Mailing Address - Fax:478-750-8789
Practice Address - Street 1:890 2ND ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-6863
Practice Address - Country:US
Practice Address - Phone:478-745-4322
Practice Address - Fax:478-750-8789
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA45688174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000844606DMedicaid
GA000884606KMedicaid
GA000884606RMedicaid
GA000884606EMedicaid
GA000884606GMedicaid
GA000884606VMedicaid
GA000884606YMedicaid
GA000884606LMedicaid
GA000884606WMedicaid
GA000884606MMedicaid
GA000884606PMedicaid
GA000844606DMedicaid
GA000844606DMedicaid