# O AKHRAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114936531
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 020504 | GA | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 03/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100168 | PEACHSTATE | GA |
| 01 | — | 10040031 | AMERIGROUP | GA |
| 01 | — | 480588 | BLUE CROSS | GA |