Individual
BASIT KHAN ACHAKZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-4000
(570) 887-5775
Mailing address
30 BERGEN ST RM 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD457909
PA
208600000X
Surgery Physician
MT197890
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0649139
—
NJ
Enumeration date
05/24/2010
Last updated
03/10/2021
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