Provider Demographics
NPI:1992148647
Name:AKHTAR, NAVEED HASSAN (MD)
Entity type:Individual
Prefix:DR
First Name:NAVEED
Middle Name:HASSAN
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 1:30 HEMPSTEAD AVE STE 144
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4034
Mailing Address - Country:US
Mailing Address - Phone:516-490-9060
Mailing Address - Fax:516-200-3020
Practice Address - Street 1:30 HEMPSTEAD AVE STE 144
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4034
Practice Address - Country:US
Practice Address - Phone:516-490-9060
Practice Address - Fax:516-200-3020
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285632207QA0505X
OK29952207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK29952OtherOK LICENSE
NY285632OtherNYS LICENSE