Provider Demographics
NPI:1881269116
Name:AKHTER, SHAHNAZ (MD)
Entity type:Individual
Prefix:
First Name:SHAHNAZ
Middle Name:
Last Name:AKHTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 43RD AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-4495
Mailing Address - Country:US
Mailing Address - Phone:718-607-2470
Mailing Address - Fax:
Practice Address - Street 1:RICHMOND UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:355 BARD AVENUE
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310
Practice Address - Country:US
Practice Address - Phone:718-818-1234
Practice Address - Fax:718-818-1279
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program