Individual
MOJTABA AKHTARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-5600
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036116898
IL
207R00000X
Internal Medicine Physician
60234
GA
207RH0003X
Hematology & Oncology Physician
Primary
25688
NE
207RH0003X
Hematology & Oncology Physician
A129758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036116898
DEPT OF PROFESSIONAL REG.
IL
01
—
60234
COMPOSITE STATE BOARD
GA
Enumeration date
01/31/2008
Last updated
06/09/2014
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