Provider Demographics
NPI:1144327875
Name:HUSSAIN, AKHTAR (MD)
Entity type:Individual
Prefix:
First Name:AKHTAR
Middle Name:
Last Name:HUSSAIN
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 1:10823 TOWN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4585
Mailing Address - Country:US
Mailing Address - Phone:210-509-7462
Mailing Address - Fax:210-509-7464
Practice Address - Street 1:10823 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4585
Practice Address - Country:US
Practice Address - Phone:210-509-7462
Practice Address - Fax:210-509-7464
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6007207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BG000OtherBCBS
TX8BX491OtherBCBS
TX111977807Medicaid
TX111977808Medicaid
TX111977808Medicaid
TX8L7867Medicare PIN
TXG79503Medicare UPIN