Organization
NEUROLOGY AND SLEEP DISORDER CENTER OF SOUTH ARKANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAILESH C VORA M.D. (DOCTOR)
(870) 863-7399
Entity
Organization
Contact information
Practice address
300 THOMPSON AVE, EL DORADO, AR 71730-4569
(870) 863-7399
(870) 863-7292
Mailing address
300 THOMPSON AVE, EL DORADO, AR 71730-4569
(870) 863-7399
(870) 863-7292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3612
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F822
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/17/2007
Last updated
04/24/2008
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