Provider Demographics
NPI:1912919457
Name:AKHTAR, SAJJAD (MD)
Entity Type:Individual
Prefix:DR
First Name:SAJJAD
Middle Name:
Last Name:AKHTAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2519 35TH ST
Mailing Address - Street 2:APT # CF
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-4870
Mailing Address - Country:US
Mailing Address - Phone:718-728-3606
Mailing Address - Fax:718-504-7900
Practice Address - Street 1:2519 35TH ST
Practice Address - Street 2:CF
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-4870
Practice Address - Country:US
Practice Address - Phone:718-728-3606
Practice Address - Fax:718-504-7900
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY219983207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02159066Medicaid
NYH41917Medicare UPIN
NY02159066Medicaid