Provider Demographics
NPI:1558656637
Name:ATMAR, AKMAL (DPM)
Entity type:Individual
Prefix:
First Name:AKMAL
Middle Name:
Last Name:ATMAR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9245 DOWDY DR STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-6386
Mailing Address - Country:US
Mailing Address - Phone:858-275-6320
Mailing Address - Fax:877-671-6835
Practice Address - Street 1:2345 E 8TH ST STE 105
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2866
Practice Address - Country:US
Practice Address - Phone:858-275-6320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5295213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE5295OtherLICENSE
CAFA6324139OtherDEA