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Individual

SAMI UWAYDAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4301 W MARKHAM ST # 523, LITTLE ROCK, AR 72205-7101
(501) 686-5150
Mailing address
4301 W MARKHAM ST # 523, LITTLE ROCK, AR 72205-7101
(501) 686-5150

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E-5758
AR
207WX0107X
Retina Specialist (Ophthalmology) Physician
E-5758
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172908001
AR
01
P00636387
RAILROAD MEDICARE
AR
Enumeration date
04/16/2007
Last updated
10/03/2017
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