# ATIYA WAHEED MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417274572
- **Authorized official:** ATIYA N WAHEED MD (OWNER)
- **Authorized official phone:** (870) 536-9700

## Contact information

- **Practice address:** 1608 W 42ND AVE, PINE BLUFF, AR 71603
- **Practice address phone:** (870) 536-9700
- **Practice address fax:** (870) 536-7706
- **Mailing address:** 1608 W 42ND AVE, PINE BLUFF, AR 71603
- **Mailing address phone:** (870) 536-9700
- **Mailing address fax:** (870) 536-7706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R2853 | AR | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 11/01/2010