Provider Demographics
NPI:1699741116
Name:JAVED M AKRAM MD PA
Entity type:Organization
Organization Name:JAVED M AKRAM MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVED
Authorized Official - Middle Name:M
Authorized Official - Last Name:AKRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-566-0714
Mailing Address - Street 1:PO BOX 50071
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206
Mailing Address - Country:US
Mailing Address - Phone:940-566-0714
Mailing Address - Fax:940-566-5775
Practice Address - Street 1:2214 EMERY ST STE 220
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2470
Practice Address - Country:US
Practice Address - Phone:940-566-0714
Practice Address - Fax:940-566-5775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2397207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0055GKOtherBCBS
TX104046104Medicaid
TX291612401Medicaid
110216877OtherRR MCARE
G69165Medicare UPIN