Mudassir Shah Akhter, MD
Pediatrics in Cheyenne, WY. Individual provider (NPI-1).
NPI number1114403151
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1114403151
- Entity type
- Individual (NPI-1)
- Name
- Mudassir Shah Akhter
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2018
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 16979A | WY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 20180119719 | MO |
Practice location
214 E 23rd StCheyenne, WY 82001-3748
Phone 307-634-2273
Mailing address
Po Box 20970Cheyenne, WY 82003-7020
Phone 307-634-2273
Other practice locations
1402 S Grand Blvd # M260
Saint Louis, MO 63104-1004
Saint Louis, MO 63104-1004
Phone 977-314-5666
2201 Hempstead Tpke
East Meadow, NY 11554-1859
East Meadow, NY 11554-1859
Phone 516-572-6637
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