Individual
PRATEEK DHAR WALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 512, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
E-18368
AR
2080P0206X
Pediatric Gastroenterology Physician
257394
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
E-18368
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03241623
—
NY
Enumeration date
03/26/2008
Last updated
12/11/2024
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