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Individual

DR. NOORULLAH AKHTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411
(361) 694-5445
(361) 694-5449
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J9944
TX
2080P0203X
Pediatric Critical Care Medicine Physician
J9944
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1018087-01
TX
05
1018087-03
TX
Enumeration date
03/07/2006
Last updated
08/13/2018
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