Individual
IZOUMROUD OSMANOVNA SOULTANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PH.D
Contact information
Practice address
11912 KANIS RD STE F2, LITTLE ROCK, AR 72211-3771
(501) 227-8020
Mailing address
11912 KANIS RD STE F2, LITTLE ROCK, AR 72211-3771
(501) 227-8020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-6465
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183018001
—
AR
Enumeration date
08/28/2007
Last updated
07/21/2022
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