Individual
RUKMIN R HETTIARACHCHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 WERNER ST, HOT SPRINGS, AR 71913-6406
(501) 664-4532
(501) 663-4335
Mailing address
500 S UNIVERSITY AVE STE 500, LITTLE ROCK, AR 72205-5307
(501) 664-4532
(501) 663-4335
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35938
AZ
207L00000X
Anesthesiology Physician
Primary
E-12058
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116390
MEDICARE
—
05
—
231428
—
AZ
Enumeration date
03/01/2006
Last updated
03/17/2020
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