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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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