Individual
DR. ANIL KUMAR BADHWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
11321 INTERSTATE 30, SUITE 308, LITTLE ROCK, AR 72209-7059
(501) 455-7003
(501) 455-7047
Mailing address
11321 I-30 SUITE 308, PETER THOMAS MEDICAL ARTS BUILDING, LITTLE ROCK, AR 72209-7067
(501) 455-7003
(501) 455-7047
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
C-8318
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122041001
—
AR
05
—
137625002
—
AR
Enumeration date
03/23/2006
Last updated
01/25/2019
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