Ijaz, Fakhar

Ijaz, Fakhar is an individual health care provider with primary practice located at 500 S University Ave Suite 508, Little Rock AR 72205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Ijaz, Fakhar can be contacted via phone (501) 588-1100.

Contact Information

Primary practice address
500 S University Ave Suite 508 Little Rock AR 72205
Fax: (501) 588-1750
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L5200 Texas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X E4531 Arkansas

Profile Details

NPI number 1487653820
LBN Legal business name Ijaz, Fakhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 18th, 2014 - about 10 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 1487653820 NPPES
Arkansas MEDICAID 158903001
Arkansas MEDICAID 1592743-05

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