Provider Demographics
NPI:1558303917
Name:AKRAM, JAVED M (MD)
Entity type:Individual
Prefix:DR
First Name:JAVED
Middle Name:M
Last Name:AKRAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 50071
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-0071
Mailing Address - Country:US
Mailing Address - Phone:940-566-0714
Mailing Address - Fax:940-566-5775
Practice Address - Street 1:2214 EMERY ST STE 220
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2470
Practice Address - Country:US
Practice Address - Phone:940-566-0714
Practice Address - Fax:940-566-5775
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK2397207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104046104Medicaid
G69165Medicare UPIN
00814MMedicare ID - Type Unspecified