Individual
RAHIM KHORASSANIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 KELLEY HWY, FORT SMITH, AR 72904-5024
(479) 709-7460
(479) 424-2423
Mailing address
4700 KELLEY HWY, FORT SMITH, AR 72904-5024
(479) 709-7460
(479) 424-2423
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E-9226
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2010
Last updated
01/21/2016
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