Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | E2545 | AR |
NPI | 1073538534 |
---|---|
Provider Name | Dr. Allam A Kowatli |
First Address | Little Rock, AR 72211-3714 |
Second Address | Little Rock, AR 72211-3714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 22/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F58886 | (02) | AR |