Fayz A Hudefi in Little Rock - Addiction Medicine
Fayz A Hudefi - NPI 1992740393
Fayz A Hudefi is a Addiction Medicine in Little Rock, Arkansas. Fayz A Hudefi practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Fayz A Hudefi is 1992740393. The last update date is 2022-11-21.
Fayz A Hudefi's current location address is 11001 Executive Center Dr Ste 200, Little Rock, Arkansas. You can contact this provider via phone number 4794415601 and fax number 4795216520. The mailing address for Fayz A Hudefi is 11001 Executive Center Dr Ste 200, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fayz A Hudefi |
|---|---|
| Address | 11001 Executive Center Dr Ste 200, Little Rock, Arkansas |
| Phone Number | 4794415601 |
| Fax Number | 4795216520 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992740393 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2022-11-21 |
Provider Mailing Address Detail
| Address | 11001 Executive Center Dr Ste 200 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722114393 |
| Phone Number | 4794415601 |
| Fax Number | 4795216520 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | E-4773 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6070018900 | AR | QUALCHOICE | |
| 5N608 | AR | BLUE CROSS | |
| 162087001 | AR | -- | |
| 200088300A | OK | -- | |
| 181515 | AR | UNITED BEHAVIORAL HLTH |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Fayz A Hudefi by the Centers for Medicare & Medicaid Services?
The Fayz A Hudefi has been issued the NPI (National Provider Identifier) 1992740393, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Fayz A Hudefi is physically located?
The Fayz A Hudefi is physically situated at the following address: 11001 Executive Center Dr Ste 200, Little Rock, AR, 722114393.
What is the area of specialization for Fayz A Hudefi, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Fayz A Hudefi is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2084A0401X.
On what date did Fayz A Hudefi receive its 1992740393 assignment from the Centers for Medicare & Medicaid Services?
The Fayz A Hudefi was assigned its 1992740393 on 2006-06-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Fayz A Hudefi's details last updated?
The information pertaining to the Fayz A Hudefi, including its address, specialty, and other details, was most recently updated on 2022-11-21.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK