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Organization
AVICENNA HOSPITAL MEDICINE, LLC
Active
Organization
AVICENNA HOSPITAL MEDICINE, LLC
Active
Other names
Avicenna Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD KAAKO MD, MBA, FACP (FOUNDER)
(479) 926-9426
Entity
Organization
Contact information
Practice address
3019 BRIGHTON PT, FORT SMITH, AR 72903-5477
(833) 284-2362
(479) 777-7123
Mailing address
3019 BRIGHTON PT, FORT SMITH, AR 72903-5477
(833) 284-2362
(479) 777-7123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
11/12/2020
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