Individual
ABDENOUR ABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W 7TH ST, CAVHS #110, LITTLE ROCK, AR 72205-5446
(501) 257-5232
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-4691
AR
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D0103047
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050075563
RRMCR
AR
01
—
06070014600
QUALCHOICE
AR
05
—
162987001
—
AR
01
—
5N561
ARK BCBS
AR
01
—
E4691
CHAMPUS
AR
01
—
P00355164
RAILROAD MEDICARE1
AR
Enumeration date
09/22/2006
Last updated
02/13/2026
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