Individual
AYTEKIN OZDEMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E-1463
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020045952
RAILROAD MEDICARE
AR
05
—
140190001
—
AR
01
—
18823000000
QUALCHOICE
AR
01
—
5L505
BLUE CROSS BLUE SHIELD
AR
01
—
5L5057666
ADDITIONAL MEDICARE
AR
01
—
E1463
TRICARE
AR
01
—
P00020503
ADDITIONAL RAILROAD MCARE
AR
Enumeration date
10/13/2006
Last updated
06/07/2019
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