Khasawneh, Khaled Riad

Khasawneh, Khaled Riad is an individual health care provider with primary practice located at 4301 W. Markham, Slot #783 , Little Rock AR 72205. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Khasawneh, Khaled Riad can be contacted via phone (501) 686-8000.

Contact Information

Primary practice address
4301 W. Markham, Slot #783 Little Rock AR 72205
Phone: (501) 686-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X E-4692 Arkansas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X E-4692 Arkansas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X E-4692 Arkansas

Profile Details

NPI number 1356370910
LBN Legal business name Khasawneh, Khaled Riad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 20th, 2016 - about 8 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 1356370910 NPPES
Kentucky MEDICAID 7100076780
Kentucky Other E-4692
Kentucky Other P00733560
Kentucky Other C10456
Kentucky Other 0101245603
Kentucky MEDICAID 1356370910

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