Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | E-1066 | AR |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | E-1066 | AR |
NPI | 1043300536 |
---|---|
Provider Name | Nafisa Dajani |
First Address | Little Rock, AR 72205-7101 |
Second Address | Little Rock, AR 72205-7101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 31/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130989001 | (05) | AR |
F31225 | (02) |