# NOYDEEN MEDICAL GROUP- RUSSELLVILLE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578176194
- **Legal business name:** NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC
- **Authorized official:** AHMED ALI MD (OWNER)
- **Authorized official phone:** (501) 209-4040

## Contact information

- **Practice address:** 1605 W MAIN ST, RUSSELLVILLE, AR 72801-2719
- **Practice address phone:** (479) 219-5008
- **Practice address fax:** (479) 219-5025
- **Mailing address:** 1605 W MAIN ST, RUSSELLVILLE, AR 72801-2719
- **Mailing address phone:** (479) 219-5008
- **Mailing address fax:** (479) 219-5025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2020
- **Last updated:** 08/24/2020