Individual
ZAHEER AKHTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
77206-21
WI
207R00000X
Internal Medicine Physician
R-11579
IA
208M00000X
Hospitalist Physician
Primary
77206-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209930
—
WI
Enumeration date
06/17/2019
Last updated
08/22/2024
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