Jordan, Randy A

Jordan, Randy A is an individual health care provider with primary practice located at 10100 Kanis Rd , Little Rock AR 72205-6202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Jordan, Randy A can be contacted via phone (501) 255-6000.

Contact Information

Primary practice address
10100 Kanis Rd Little Rock AR 72205-6202
Phone: (501) 255-6000
Fax: (501) 255-6400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C-5657 Arkansas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X C-5657 Arkansas

Profile Details

NPI number 1780695312
LBN Legal business name Jordan, Randy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780695312 NPPES
Arkansas Other 89-T033 MALP INS

Popular Providers