Individual
SHUAIB AKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
268 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
(973) 877-5034
(973) 877-5231
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA58588
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001807
—
NJ
Enumeration date
06/14/2005
Last updated
03/06/2015
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