Provider Demographics
NPI:1881903623
Name:AKTHER, NASIM (MD, PMHNP BC)
Entity type:Individual
Prefix:
First Name:NASIM
Middle Name:
Last Name:AKTHER
Suffix:
Gender:F
Credentials:MD, PMHNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF THE INCARNATE WORD
Mailing Address - Street 2:4301 BROADWAY, CPO 12
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:816-686-5541
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF THE INCARNATE WORD SCHOOL OF OSTEOPATHIC
Practice Address - Street 2:7615 KENNEDY HILL
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78235
Practice Address - Country:US
Practice Address - Phone:210-304-6025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP20089380390200000X, 2084P0800X
TX1099397363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health