Individual
DR. REZA SHAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 NORTHSHORE DR, SUITE 100, NORTH LITTLE ROCK, AR 72118-5312
(501) 225-0880
(501) 225-5694
Mailing address
5201 NORTHSHORE DR, SUITE 100, NORTH LITTLE ROCK, AR 72118-5312
(501) 225-0880
(501) 225-5694
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E2962
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142824001
—
AR
01
—
5394650001
MEDICARE DME
AR
Enumeration date
01/24/2006
Last updated
07/13/2010
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