Individual
ISRAH AKHTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1530
Mailing address
2500 N. STATE ST., JACKSON, MS 39216
(601) 984-1530
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18484
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07378562
—
MS
01
—
220001151
MEDICARE ID
—
01
—
P00462154
RR MEDICARE
MS
01
—
P01233210
RAILROAD MEDICARE
MS
Enumeration date
07/20/2006
Last updated
12/16/2013
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