Provider Demographics
NPI:1902803737
Name:AKRAM, MUHAMMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:
Last Name:AKRAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CLINIC DR
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-1661
Mailing Address - Country:US
Mailing Address - Phone:270-821-0677
Mailing Address - Fax:270-821-2539
Practice Address - Street 1:800 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-1658
Practice Address - Country:US
Practice Address - Phone:270-821-0677
Practice Address - Fax:270-326-3805
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054589A207RC0000X
KY36693207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000388817OtherBCBS
IN200336220AMedicaid
KY64035322Medicaid
KY000000670614OtherANTHEM BCBS
KY0935359Medicare PIN
KY00151016Medicare PIN
KY000000670614OtherANTHEM BCBS
KYP400019990Medicare PIN
G39100Medicare UPIN
KY64035322Medicaid
KYP00379470Medicare PIN
KY64035322Medicaid
IN845900DDMedicare ID - Type Unspecified
KYP400019990Medicare PIN