Provider Demographics
NPI:1447264429
Name:AKHTAR, ADEEBA K (MD)
Entity type:Individual
Prefix:
First Name:ADEEBA
Middle Name:K
Last Name:AKHTAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:12000 RICHMOND AVE STE 265
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2431
Mailing Address - Country:US
Mailing Address - Phone:713-468-2358
Mailing Address - Fax:713-468-2595
Practice Address - Street 1:12121 RICHMOND AVE STE NO226
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:713-515-3477
Practice Address - Fax:713-468-2595
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM0999207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI47131OtherUPIN