Organization
PRIME HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAITANYA MUSHAM MD (OWNER)
(501) 444-2748
Entity
Organization
Contact information
Practice address
11321 I30 FRONTAGE RD, SUITE 200, LITTLE ROCK, AR 72209
(501) 444-2748
Mailing address
17200 CHENAL PKWY STE 300149, LITTLE ROCK, AR 72223-5958
(270) 996-7871
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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