Bagherzadeh-Azar, Manila
Bagherzadeh-Azar, Manila is an individual health care provider with primary practice located at 4301 W Markham St # 783 , Little Rock AR 72205-7101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as her primary health care specialty. Bagherzadeh-Azar, Manila can be contacted via phone (501) 686-8000.Contact Information
Primary practice address
4301 W Markham St # 783
Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax: (501) 526-5148
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | E-4060 | Arkansas |
Profile Details
NPI number | 1679664544 |
---|---|
LBN Legal business name | Bagherzadeh-Azar, Manila |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2006 |
Last updated | Feb 27th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679664544 | NPPES |
Arkansas | Other | P00210259 | RAILROAD MEDICARE |
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