Individual
RUDHIR TANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DODSON AVE # 60, FORT SMITH, AR 72901-5182
(479) 709-7325
Mailing address
5408 S ALTAMONTE RD, ROGERS, AR 72758-9068
(217) 416-5679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054783
IL
207R00000X
Internal Medicine Physician
39540
IA
207RI0011X
Interventional Cardiology Physician
Primary
E13848
AR
207RI0011X
Interventional Cardiology Physician
MD-39540
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217308002
—
AR
Enumeration date
08/18/2008
Last updated
04/26/2022
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