Organization
SOUTH ARKANSAS NEPHROLOGY AND HYPERTENSION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID MAHMOOD M.D. (PRESIDENT)
(870) 536-1400
Entity
Organization
Contact information
Practice address
2302 W 28TH AVE, SUITE A, PINE BLUFF, AR 71603-5050
(870) 536-1400
(870) 536-5196
Mailing address
2302 W 28TH AVE, SUITE A, PINE BLUFF, AR 71603-5050
(870) 536-1400
(870) 536-5196
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
E0300
AR
207RN0300X
Nephrology Physician
E3969
AR
2084N0400X
Neurology Physician
Primary
E4018
AR
Other
Enumeration date
09/02/2005
Last updated
09/11/2025
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