Provider Demographics
NPI:1407011497
Name:AKBAR, SAIMA T (MD)
Entity type:Individual
Prefix:
First Name:SAIMA
Middle Name:T
Last Name:AKBAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAIMA
Other - Middle Name:
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2323 S 109TH ST
Mailing Address - Street 2:STE 195
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-1911
Mailing Address - Country:US
Mailing Address - Phone:414-436-3053
Mailing Address - Fax:
Practice Address - Street 1:2323 S 109TH ST
Practice Address - Street 2:STE 195
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-1911
Practice Address - Country:US
Practice Address - Phone:414-436-3053
Practice Address - Fax:414-433-9036
Is Sole Proprietor?:No
Enumeration Date:2008-07-19
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50682207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine