Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | E-4470 | AR |
Y | 207Q00000X | Family Doctor | E-4470 | AR |
NPI | 1003875501 |
---|---|
Provider Name | Sikandar Murad |
First Address | Little Rock, AR 72205-2920 |
Second Address | Little Rock, AR 72205-2920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 10/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
158950001 | (05) | AR |
200082420A | (05) | OK |
5N275 | BCBS (01) | AR |
I33262 | (02) |