Individual
MAHESH BAVINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 296-1134
Mailing address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 296-1134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T2016-106
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2013
Last updated
07/29/2016
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