Organization
INFECTIOUS DISEASES SERVICES OF ARKANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAED N. KHAIRY MD (PHYSICIAN)
(479) 652-7973
Entity
Organization
Contact information
Practice address
INFECTIOUS DISEASES SERVICES OF ARKANSAS, LLC, 3416 OLD GREENWOOD RD, SUITE #B, FORT SMITH, AR 72903
(479) 652-7973
Mailing address
INFECTIOUS DISEASES SERVICES OF ARKANSAS LLC, 2316 DUNDEE DRIVE, FORT SMITH, AR 72908
(479) 652-7973
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168560001
—
AR
Enumeration date
06/05/2025
Last updated
06/05/2025
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