Individual
DR. VASILI LENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3714
(501) 664-5860
(501) 664-0889
Mailing address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3714
(501) 664-5860
(501) 664-0889
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19763
MS
207RI0011X
Interventional Cardiology Physician
Primary
19763
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041729
TLC
TN
05
—
3000800
—
TN
01
—
4166805
BCBS TN
TN
01
—
7415929
AETNA
—
01
—
P00423051
RAIL ROAD MEDICARE
MS
Enumeration date
03/22/2007
Last updated
09/13/2011
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