Individual
HASAN AKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 THOMPSON RD, COOS BAY, OR 97420
(541) 269-0333
(541) 267-6905
Mailing address
1750 THOMPSON RD, COOS BAY, OR 97420
(541) 269-0333
(541) 267-6905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD08480
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278033
—
OR
Enumeration date
11/06/2006
Last updated
11/19/2007
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