Individual
HOMAYOUN POURNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12600 CANTRELL RD STE 100, LITTLE ROCK, AR 72223-1604
(501) 224-1044
Mailing address
12600 CANTRELL RD STE 100, LITTLE ROCK, AR 72223-1604
(501) 224-1044
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
A146226
CA
208600000X
Surgery Physician
2018-01729
NC
208600000X
Surgery Physician
Primary
T2026-068
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609172097
—
NC
01
—
19WQU
BCBS OF NC
NC
01
—
NN3172A
MEDICARE
NC
Enumeration date
02/01/2011
Last updated
04/28/2026
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