Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2012-01544 | NC |
N | 111NI0900X | Internist | 2012-01544 | NC |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | E-13739 | AR |
N | 207RC0000X | Internist - Cardiovascular Disease | 2012-01544 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | E-13739 | AR |
N | 207RC0200X | Critical Care Medicine | 201201544 | NC |
N | 207RC0200X | Critical Care Medicine | E-13739 | AR |
N | 207RI0011X | Interventional Cardiology | 201201544 | NC |
Y | 207RI0011X | Interventional Cardiology | E-13739 | AR |
N | 207RI0011X | Interventional Cardiology | ME132480 | FL |
NPI | 1275763757 |
---|---|
Provider Name | Anton Lishmanov |
First Address | Little Rock, AR 72211-4335 |
Second Address | Little Rock, AR 72211-4335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2009 |
Last Update Date | 18/02/2021 |