Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 12723 | AL |
Y | 207RH0003X | Hematology & Oncology | E-5381 | AR |
NPI | 1205844594 |
---|---|
Provider Name | Peter D Emanuel |
First Address | Little Rock, AR 72205-5407 |
Second Address | Little Rock, AR 72205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 20/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000016296 | (05) | AL |
000016296 | BLUE CROSS (01) | AL |
009914995 | (05) | AL |
0111299 | MISSISSIPPI MEDICAID (01) | MS |
051513428 | BLUE CROSSA (01) | AL |
110036176 | RAILROAD MEDICARE (01) | AL |
166109001 | (05) | AR |
18585 | HEALTHSPRING OF ALABAMA (01) | AL |
24B05 | MCGP BILLING (01) | AR |
7316 | UAMS HOSPITAL (01) | AR |
C73314 | VIVA (01) | AL |
P00466617 | RAILROAD MEDICARE (01) | AR |