Individual
ISSAM MAKHOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 CARTI WAY, LITTLE ROCK, AR 72205-6523
(015) 906-3000
Mailing address
PO BOX 55050, LITTLE ROCK, AR 72215-5050
(501) 906-3000
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
E-3306
AR
207RH0003X
Hematology & Oncology Physician
Primary
E-3306
AR
207RX0202X
Medical Oncology Physician
E-3306
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02120013100
QUALCHOICE
AR
05
—
148205001
—
AR
01
—
5M338
BCBS
AR
01
—
830008472
RAILROAD MEDICARE1
AR
Enumeration date
10/13/2006
Last updated
03/09/2022
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