Provider Demographics
NPI:1447660022
Name:AL AKSHAR, AMMAR (MD)
Entity type:Individual
Prefix:
First Name:AMMAR
Middle Name:
Last Name:AL AKSHAR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 S DALLAS PKWY STE 116
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-3495
Mailing Address - Country:US
Mailing Address - Phone:945-677-9715
Mailing Address - Fax:945-677-9716
Practice Address - Street 1:1530 S DALLAS PKWY STE 116
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-3495
Practice Address - Country:US
Practice Address - Phone:945-677-9715
Practice Address - Fax:945-677-9716
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT0406207RI0011X, 207RI0011X
NJ25MA10092500207RC0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program