Organization
CARDIAC & VASCULAR CENTER OF ARKANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHABBIR DHARAMSEY M.D. (OWNER)
(870) 534-2900
Entity
Organization
Contact information
Practice address
7200 S HAZEL ST, PINE BLUFF, AR 71603-7836
(870) 534-2900
(870) 534-5323
Mailing address
7200 S HAZEL ST, PINE BLUFF, AR 71603-7836
(870) 534-2900
(870) 534-5323
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MC1682
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134088002
—
AR
01
—
CI2926
RAILROAD MEDICARE
AZ
Enumeration date
07/21/2006
Last updated
08/21/2014
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