Individual
NASIM AKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1017 12TH AVE, FORT WORTH, TX 76104-3915
(817) 334-2800
(817) 336-1954
Mailing address
1017 12TH AVE, FORT WORTH, TX 76104-3915
(817) 334-2800
(817) 336-1954
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E3638
TX
207RI0011X
Interventional Cardiology Physician
E3638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01253798
AMERIGROUP
TX
05
—
1380826-02
—
TX
05
—
1380826-08
—
TX
01
—
4036131
AETNA PROVIDER ID
—
01
—
86464K
BCBS
TX
Enumeration date
05/15/2006
Last updated
08/10/2009
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