Provider Demographics
NPI:1205523032
Name:ACHKAR, MICHEL (MD)
Entity type:Individual
Prefix:MR
First Name:MICHEL
Middle Name:
Last Name:ACHKAR
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:CHEHAHARA STREET
Mailing Address - Street 2:MANOUR RICHANI BUILDING
Mailing Address - City:QLEIAAT
Mailing Address - State:QLEIAAT
Mailing Address - Zip Code:02303
Mailing Address - Country:LB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:475 SEAVIEW AVENUE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305
Practice Address - Country:US
Practice Address - Phone:718-226-8313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2024-03-12
Deactivation Date:2023-11-24
Deactivation Code:
Reactivation Date:2024-03-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program