Individual
AHMED GHALEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11220 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4492
(501) 219-1114
(501) 219-1115
Mailing address
11220 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4492
(501) 219-1114
(501) 219-1115
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E-3215
AR
207LP2900X
Pain Medicine (Anesthesiology) Physician
E-3215
AR
208VP0014X
Interventional Pain Medicine Physician
Primary
E-3215
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050086527
RAILROAD MEDICARE
AR
05
—
146584001
—
AR
01
—
P00020406
RAILROAD MEDICARE
AR
Enumeration date
10/13/2006
Last updated
04/11/2024
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