Manila Bagherzadeh-Aza in Little Rock - Body Imaging

Manila Bagherzadeh-Aza - NPI 1679664544

Manila Bagherzadeh-Aza is a Body Imaging in Little Rock, Arkansas. Manila Bagherzadeh-Aza practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Manila Bagherzadeh-Aza is 1679664544. The last update date is 2008-02-27.

Manila Bagherzadeh-Aza's current location address is 4301 W Markham St # 783, Little Rock, Arkansas. You can contact this provider via phone number 5016868000 and fax number 5015265148. The mailing address for Manila Bagherzadeh-Aza is 4301 W Markham St # 783, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Manila Bagherzadeh-Aza
Address 4301 W Markham St # 783, Little Rock, Arkansas
Phone Number 5016868000
Fax Number 5015265148
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1679664544
Provider Enumeration Date 2006-09-27
Last Updated Date 2008-02-27

Provider Mailing Address Detail

Address 4301 W Markham St # 783
City Little Rock
State Arkansas (AR)
Post Code 722057101
Phone Number 5016868000
Fax Number 5015265148

Provider's Primary Taxonomy Detail

Speciality Body Imaging
Taxonomy 2085B0100X
Licence No E-4060
Definition:
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00210259 AR RAILROAD MEDICARE

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FAQs about Manila Bagherzadeh-Aza

What is the unique 10-digit identifier code issued to Manila Bagherzadeh-Aza by the Centers for Medicare & Medicaid Services?

The Manila Bagherzadeh-Aza has been assigned the NPI (National Provider Identifier) 1679664544 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Manila Bagherzadeh-Aza's facilities are geographically located?

The facilities of Manila Bagherzadeh-Aza are physically situated at the following location: 4301 W Markham St # 783, Little Rock, AR, 722057101.

What is Manila Bagherzadeh-Aza's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Manila Bagherzadeh-Aza is Body Imaging, and the taxonomy classification code that categorizes this area of expertise is 2085B0100X.

When did Manila Bagherzadeh-Aza receive its 1679664544 assignment?

The Manila Bagherzadeh-Aza was assigned its 1679664544 on 2006-09-27, which is the date when this unique identifier was issued to the organization.

As of what date were the Manila Bagherzadeh-Aza's details last updated?

The information pertaining to the Manila Bagherzadeh-Aza, including its address, specialty, and other details, was most recently updated on 2008-02-27.

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