Provider Demographics
NPI:1922403963
Name:AKWAR, TERENCE (RN)
Entity Type:Individual
Prefix:
First Name:TERENCE
Middle Name:
Last Name:AKWAR
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13138 SHINNECOCK DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7325
Mailing Address - Country:US
Mailing Address - Phone:202-631-7641
Mailing Address - Fax:
Practice Address - Street 1:13138 SHINNECOCK DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7325
Practice Address - Country:US
Practice Address - Phone:202-631-7641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR212862251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health