Provider Demographics
NPI:1811345929
Name:AKHTAR, SALIL DAVID (RN)
Entity type:Individual
Prefix:
First Name:SALIL
Middle Name:DAVID
Last Name:AKHTAR
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2501 JEROME AVE
Mailing Address - Street 2:WEST HALL
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-4305
Mailing Address - Country:US
Mailing Address - Phone:646-393-8622
Mailing Address - Fax:
Practice Address - Street 1:130 W KINGSBRIDGE RD
Practice Address - Street 2:JAMES J. PETERS VA MEDICAL CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-3904
Practice Address - Country:US
Practice Address - Phone:718-584-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY494918163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical