Provider Demographics
NPI:1154611705
Name:AKHTAR, SYED HASAN (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:HASAN
Last Name:AKHTAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10705 LOVRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-1786
Mailing Address - Country:US
Mailing Address - Phone:512-301-4083
Mailing Address - Fax:512-712-5851
Practice Address - Street 1:10705 LOVRIDGE CT
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78739-1786
Practice Address - Country:US
Practice Address - Phone:512-301-4083
Practice Address - Fax:512-712-5851
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-17
Last Update Date:2011-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9991207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine