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Individual

MR. BRIAN IBRAHIM MALKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211-2840
(844) 215-8731
(888) 630-8885
Mailing address
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211-2840
(586) 488-8464

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E13184
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E-13184
STATE LICENSE
AR
Enumeration date
06/02/2015
Last updated
04/05/2022
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