Tjandra, Sarikun

Tjandra, Sarikun is an individual health care provider with primary practice located at 7001 Rogers Ave Ste 200 , Fort Smith AR 72903-4022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Tjandra, Sarikun can be contacted via phone (479) 314-4600.

Contact Information

Primary practice address
7001 Rogers Ave Ste 200 Fort Smith AR 72903-4022
Phone: (479) 314-4600
Fax: (479) 314-3630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X E-3340 Arkansas

Profile Details

NPI number 1891704227
LBN Legal business name Tjandra, Sarikun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 9th, 2012 - about 12 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 1891704227 NPPES
Arkansas MEDICAID 146689001
Arkansas MEDICAID 100224840A

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