Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | E-14647 | AR |
NPI | 1073967048 |
---|---|
Provider Name | Dr. Hooman Motahari |
First Address | Little Rock, AR 72205-2936 |
Second Address | Little Rock, AR 72205-2936 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2016 |
Last Update Date | 01/10/2021 |