Provider Demographics
NPI:1669695649
Name:AKHTAR, RIZWAN (MD)
Entity type:Individual
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First Name:RIZWAN
Middle Name:
Last Name:AKHTAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6400 DUTCHMANS PKWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-3340
Mailing Address - Country:US
Mailing Address - Phone:502-587-9660
Mailing Address - Fax:502-540-5615
Practice Address - Street 1:1036 CENTER DR
Practice Address - Street 2:SUITE A
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3838
Practice Address - Country:US
Practice Address - Phone:859-626-1700
Practice Address - Fax:859-626-1702
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2014-02-03
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Provider Licenses
StateLicense IDTaxonomies
KY34262207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64342264Medicaid