Individual
GHASSAN WALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 W PERSHING BLVD, SUITE C, NORTH LITTLE ROCK, AR 72114-2147
(501) 758-7352
(501) 771-5014
Mailing address
505 W PERSHING BLVD, SUITE C, NORTH LITTLE ROCK, AR 72114-2147
(501) 758-7352
(501) 771-5014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E4298
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07080033300
QUALCHOICE
AR
05
—
158718001
—
AR
01
—
7941683
AETNA
AR
01
—
859244
HEALTHLINK
AR
Enumeration date
03/27/2006
Last updated
05/30/2008
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