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Organization

NEW WAVE HEART & VASCULAR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTON LISHMANOV MD, PHD (PRESIDENT)
(573) 673-0166
Entity
Organization

Contact information

Practice address
13810 MARINA DR, LITTLE ROCK, AR 72212-1525
(573) 673-0166
Mailing address
13810 MARINA DR, LITTLE ROCK, AR 72212-1525
(573) 673-0166

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RI0011X
Interventional Cardiology Physician
Primary
207UN0901X
Nuclear Cardiology Physician

Other

Enumeration date
02/24/2023
Last updated
08/14/2025
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