Individual
FERNANDO PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 811, LITTLE ROCK, AR 72205-5302
(501) 661-1822
(501) 666-0266
Mailing address
500 S UNIVERSITY AVE, SUITE 811, LITTLE ROCK, AR 72205-5302
(501) 661-1822
(501) 666-0266
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C4351
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104408001
—
AR
01
—
15162000000
QUAL-CHOICE OF ARKANSAS
AR
01
—
341898
HEALTHLINK PPO
—
01
—
710779617
UNITED HEALTHCARE
—
01
—
710779617PAD
MERCY HEALTH PLANS
—
01
—
830002634
RAILROAD MEDICARE
—
01
—
AS0500592
TRICARE
—
Enumeration date
06/30/2006
Last updated
01/14/2010
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