Organization
SARK OPL
Active
Other names
SARC MSG, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADEEM MAHMOOD MD (OWNER)
(870) 534-2900
Entity
Organization
Contact information
Practice address
7200 S HAZEL ST, PINE BLUFF, AR 71603-7836
(870) 534-2900
(870) 534-9726
Mailing address
7200 S HAZEL ST, PINE BLUFF, AR 71603-7836
(870) 534-2900
(870) 534-9726
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E-2652
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142512001
—
AR
Enumeration date
03/28/2017
Last updated
01/04/2021
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