Abdul Ezeldin M.d. P.a.

NPI 1164709036 - Specialist - 174400000X

NPI Details
NPI 1164709036
Enumeration Date 11/07/2011
Last Updated 03/19/2014
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ABDUL K ABDUL
Position OWNER
Phone (870) 534-1726
Fax (870) 534-0728
Practice Location
1801 W 40TH AVE STE 5C
PINE BLUFF AR, 71603-6962, US
Phone (870) 534-1726
Fax (870) 534-0728
Business Location
1801 W 40TH AVE STE 5C
P. O BOX 1446
PINE BLUFF AR, 71603-6962, US
Phone (870) 534-1726
Fax (870) 534-0728
Toxanomy
Taxonomy Code 174400000X
License State Arkansas
License Number BE5718739
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According to our database, Abdul Ezeldin M.d. P.a. NPI is 1164709036, taxonomy code is 174400000X and license number is BE5718739, license state is located at Arkansas. Abdul Ezeldin M.d. P.a. physically located at 1801 W 40th Ave Ste 5c, Pine Bluff AR, 71603-6962. NPI Number 1033115704 has the healthcare provider type.

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1164709036 NPI number is provided on an as is basis without warranty of any kind. 1164709036 is maintained by the National Plan & Provider Enumeration System. The contents of Abdul Ezeldin M.d. P.a. are for informational purposes only.