Basic Information
| Provider Information | |||||||||
| NPI: | 1508982976 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AKHAND | ||||||||
| FirstName: | TAHER | ||||||||
| MiddleName: | UDDIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 255 HUGUENOT ST | ||||||||
| Address2: | APT.712 | ||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 108016387 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606590408 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2475 SAINT RAYMONDS AVE | ||||||||
| Address2: | PATHOLOGY DEPARTMENT-NY WESTCHESTER SQUARE MED.CTR. | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104613124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8608898331 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2007 | ||||||||
| LastUpdateDate: | 09/21/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | 121318 | NY | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
ID Information
| ID | Type | State | Issuer | Description | 121318 | 01 | NY | LICENSE | OTHER |