Individual
DR. NIRVANA AFSORDEH MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST, SLOT #518, LITTLE ROCK, AR 72205-7101
(501) 686-5380
(501) 603-1716
Mailing address
67 BELLEGARDE DR, LITTLE ROCK, AR 72223-9182
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E-5070
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164733001
—
AR
01
—
P00402979
RAILROAD MEDICARE
AR
Enumeration date
05/14/2007
Last updated
05/22/2008
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