Individual
RAJA HASSAN IMTIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 HARRISON ST STE T, BATESVILLE, AR 72501-7315
(870) 262-6155
(870) 262-6512
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-6155
(870) 262-6512
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
E-17096
AR
208VP0014X
Interventional Pain Medicine Physician
Primary
E17096
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321206001
—
AR
Enumeration date
07/08/2019
Last updated
09/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us