Organization
VAFA FERDOWSIAN DPM, P.A.
Active
Other names
Foot and Ankle Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VAFA N FERDOWSIAN DPM (OWNER/PHYSICIAN)
(501) 327-3668
Entity
Organization
Contact information
Practice address
1120 HOGAN LN STE B, CONWAY, AR 72034-8216
(501) 327-3668
(501) 327-3664
Mailing address
PO BOX 10607, CONWAY, AR 72034-0010
(501) 327-3668
(501) 327-3664
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
230
AR
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05080020101
QUALCHOICE INDIVIDUAL NUM
AR
05
—
156810717
—
AR
05
—
163819748
—
AR
05
—
201228716
—
AR
01
—
5764142
CIGNA INDIVIDUAL NUMBER
AR
01
—
5N327
BLUE CROSS BLUE SHIELD
AR
01
—
P00304134
RAILROAD MEDICARE NUMBER
AR
Enumeration date
01/30/2008
Last updated
09/04/2019
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