Individual
MUDASSIR SHAH AKHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 634-2273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16979A
WY
390200000X
Student in an Organized Health Care Education/Training Program
20180119719
MO
Other
Enumeration date
07/12/2018
Last updated
10/16/2024
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