Provider Demographics
NPI:1619124039
Name:AKHTAR, RAHIL (DMD)
Entity type:Individual
Prefix:
First Name:RAHIL
Middle Name:
Last Name:AKHTAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 S HIGHWAY 92 STE A
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-5355
Mailing Address - Country:US
Mailing Address - Phone:520-459-5166
Mailing Address - Fax:208-884-1603
Practice Address - Street 1:1150 S HIGHWAY 92 STE A
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-5355
Practice Address - Country:US
Practice Address - Phone:520-459-5166
Practice Address - Fax:208-884-1603
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD011698122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABA9918737OtherDEA NUMBER