Individual
MAAMAN BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1420 W 43RD AVE STE A, PINE BLUFF, AR 71603-7010
(870) 541-6015
(414) 805-6851
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(414) 805-6850
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68019
WI
207RR0500X
Rheumatology Physician
Primary
E-13620
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225432917
—
WI
05
—
262256001
—
AR
Enumeration date
10/09/2014
Last updated
02/26/2024
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