Provider Demographics
NPI:1932468881
Name:AKHTAR, JABIR KAMAL (MD)
Entity Type:Individual
Prefix:
First Name:JABIR
Middle Name:KAMAL
Last Name:AKHTAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2750 MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MARLETTE
Mailing Address - State:MI
Mailing Address - Zip Code:48453-1100
Mailing Address - Country:US
Mailing Address - Phone:989-635-4614
Mailing Address - Fax:989-635-4619
Practice Address - Street 1:12140 NEW YORK RANCH RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642-9407
Practice Address - Country:US
Practice Address - Phone:209-257-2400
Practice Address - Fax:209-257-2403
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2024-03-12
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Provider Licenses
StateLicense IDTaxonomies
MI4301099883207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine