Basic Information
Provider Information
NPI: 1578900221
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKBAR
FirstName: GHULAM
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 783311
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191783311
CountryCode: US
TelephoneNumber: 4848844500
FaxNumber: 4848840699
Practice Location
Address1: 1250 S CEDAR CREST BLVD
Address2: SUITE 300
City: ALLENTOWN
State: PA
PostalCode: 181036224
CountryCode: US
TelephoneNumber: 6104028275
FaxNumber: 6104023225
Other Information
ProviderEnumerationDate: 06/03/2013
LastUpdateDate: 06/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD449105PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XMD449105PAN Allopathic & Osteopathic PhysiciansHospitalist 
207RC0000XMD449105PAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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