Organization
AVICENNA HOSPITAL MEDICINE, LLC
Active
Other names
Avicenna Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD KAAKO MD, MBA, FACP (FOUNDER)
(479) 926-9426
Entity
Organization
Contact information
Practice address
3019 BRIGHTON PT, FORT SMITH, AR 72903-5477
(833) 284-2362
(479) 777-7123
Mailing address
3019 BRIGHTON PT, FORT SMITH, AR 72903-5477
(833) 284-2362
(479) 777-7123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
11/12/2020
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