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
Phone: (501) 588-1100
Fax: (501) 588-1750
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487653820 | NPPES |
Arkansas | MEDICAID | 158903001 | |
Arkansas | MEDICAID | 1592743-05 |
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