Individual
SHAKER SAMIH QAQISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11771 MAUMELLE BLVD, NORTH LITTLE ROCK, AR 72113
(501) 204-0302
(501) 573-4111
Mailing address
11771 MAUMELLE BLVD, NORTH LITTLE ROCK, AR 72113-6558
(501) 204-0302
(501) 573-4111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
301234
NY
207R00000X
Internal Medicine Physician
4301114410
MI
207R00000X
Internal Medicine Physician
A126465
CA
207RN0300X
Nephrology Physician
301234
NY
207RN0300X
Nephrology Physician
4301114410
MI
207RN0300X
Nephrology Physician
A126465
CA
207RN0300X
Nephrology Physician
Primary
E-16018
AR
208600000X
Surgery Physician
301234
NY
Other
Enumeration date
04/16/2011
Last updated
06/08/2023
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