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
Fax: (501) 526-5148
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679664544 NPPES
Arkansas Other P00210259 RAILROAD MEDICARE

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