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Individual

NIRMAL K KILAMBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1300 E ZION RD, FAYETTEVILLE, AR 72703-5015
(479) 521-8980
(479) 521-1088
Mailing address
1300 E ZION RD, FAYETTEVILLE, AR 72703-5015
(479) 521-8980
(479) 521-1088

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E2858
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
143846001
AR
01
19208000000
QUALCHOICE OF ARKANSAS
AR
01
340018982
RAILROAD MEDICARE
AR
01
5L871
ARK BLUE CROSS BLUE SHIEL
AR
Enumeration date
12/02/2005
Last updated
06/06/2013
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