Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 228798 | MA |
N | 111NI0900X | Internist | 228798 | MA |
Y | 207RH0003X | Hematology & Oncology | E5915 | AR |
NPI | 1053426304 |
---|---|
Provider Name | Dr. Konstantinos Arnaoutakis |
First Address | Little Rock, AR 72205-7101 |
Second Address | Little Rock, AR 72205-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 06/07/2009 |