Individual
VAFA N FERDOWSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1120 HOGAN LN STE B, CONWAY, AR 72034-8216
(501) 327-3668
(501) 327-3664
Mailing address
703 DONAGHEY AVE, CONWAY, AR 72034-5107
(501) 327-3668
(501) 327-3664
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
230
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05080020100
QUALCHOICE INDIVIDUAL NUM
AR
05
—
156810717
—
AR
01
—
5764142
CIGNA INDIVIDUAL NUMBER
AR
01
—
5N327
BCBS INDIVIDUAL NUMBER
AR
01
—
7176701
AETNA NUMBER
AR
01
—
P00304134
RAILROAD MEDICARE NUMBER
AR
Enumeration date
02/10/2006
Last updated
01/02/2019
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