Provider Demographics
NPI:1356378087
Name:AKMAL, MOHAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:
Last Name:AKMAL
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:PO BOX 31309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0309
Mailing Address - Country:US
Mailing Address - Phone:323-442-5100
Mailing Address - Fax:
Practice Address - Street 1:1520 SAN PABLO ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5310
Practice Address - Country:US
Practice Address - Phone:323-226-7307
Practice Address - Fax:323-226-5390
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31697207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A316970Medicaid
CA1356390009OtherGROUP NPI
CA00A316970OtherBLUE SHIELD
CAWA31697HOtherRAILROAD MEDICARE
CACE1617OtherGROUP RAILROAD MEDICARE
CAGR0100430OtherGROUP MEDICAL
CAW11675OtherGROUP MEDICARE PIN
CAW18762OtherGROUP MEDICARE
CAGR0016910OtherGROUP MEDICAID PIN
CA00A316970197OtherCAL OPTIMA
CA1902846306OtherGROUP NPI
CAGR0100430OtherGROUP MEDICAL
CA00A316970OtherBLUE SHIELD