Individual
DR. AKBAR H DASTAGIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 385-2590
(414) 385-2591
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52196-20
WI
208M00000X
Hospitalist Physician
Primary
52196
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002847
—
WI
01
—
1316145071
BCBS
WI
Enumeration date
07/04/2007
Last updated
03/19/2024
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