Individual
FAKHAR IJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 508, LITTLE ROCK, AR 72205
(501) 588-1100
(501) 588-1750
Mailing address
500 S UNIVERSITY AVE STE 508, LITTLE ROCK, AR 72205-5306
(501) 588-1100
(501) 588-1750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L5200
TX
207RN0300X
Nephrology Physician
Primary
E4531
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158903001
—
AR
05
—
1592743-05
—
TX
Enumeration date
07/19/2005
Last updated
03/18/2014
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