Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | E-9998 | AR |
N | 207RC0000X | Internist - Cardiovascular Disease | E-9998 | AR |
NPI | 1609060334 |
---|---|
Provider Name | Muhammad Waqas |
First Address | Little Rock, AR 72205-6202 |
Second Address | Little Rock, AR 72205-6202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2007 |
Last Update Date | 14/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
217130001 | (05) | AR |