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Individual

DR. KHALID RAYAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
13212 FAIRVIEW VILLAGE COURT, LITTLE ROCK, AR 72205-4417
(501) 257-1000
Mailing address
13212 FAIRWAY VILLAGE CT, LITTLE ROCK, AR 72212-4417
(870) 850-6053
(870) 850-6482

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
E4732
AR
207R00000X
Internal Medicine Physician
Primary
E-4732
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180380001
AR
01
P01120993
RAILROAD MEDICARE
AR
Enumeration date
10/11/2006
Last updated
02/01/2013
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