Individual
DR. SUBODH R DEVABHAKTUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 532, LITTLE ROCK, AR 72205-7101
(501) 686-5311
(501) 686-6439
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-12338
AR
207RC0000X
Cardiovascular Disease Physician
E-12338
AR
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
E-12338
AR
Other
Enumeration date
07/06/2009
Last updated
09/16/2019
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