Provider Demographics
NPI:1669556973
Name:GILANI, AKBAR (MD)
Entity type:Individual
Prefix:DR
First Name:AKBAR
Middle Name:
Last Name:GILANI
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 1:20055 LAKE CHABOT RD STE 350
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5391
Mailing Address - Country:US
Mailing Address - Phone:510-209-7499
Mailing Address - Fax:
Practice Address - Street 1:20055 LAKE CHABOT RD STE 350
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5391
Practice Address - Country:US
Practice Address - Phone:510-209-7499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA719932084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH30014Medicare UPIN
CA00A719931Medicare PIN