Provider Demographics
NPI:1700960788
Name:AKHTAR, SHAFQAT M (MD)
Entity type:Individual
Prefix:
First Name:SHAFQAT
Middle Name:M
Last Name:AKHTAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:2340 LIBERTY PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-4350
Mailing Address - Country:US
Mailing Address - Phone:530-529-6010
Mailing Address - Fax:530-527-7308
Practice Address - Street 1:2340 LIBERTY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-4350
Practice Address - Country:US
Practice Address - Phone:530-529-6010
Practice Address - Fax:530-527-7308
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2025-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA45081207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A450810Medicaid
CA00A450810Medicaid
00A450810Medicare ID - Type Unspecified