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1659758753

NPI Code Detail

MEDICARE: MISHALA REBECCA BATEMAN M.D.

MEDICARE: MISHALA REBECCA BATEMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	E-17206	AR
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A147545	CA
3	207RP1001X	Pulmonary Disease Physician	A147545	CA
4	207R00000X	Internal Medicine Physician	A147545	CA
5	207R00000X	Internal Medicine Physician	E-17206	AR
6	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	E-17206	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659758753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISHALA REBECCA BATEMAN M.D.

Provider Business Mailing Address
First Line	:	11001 EXECUTIVE CENTER DR STE 200
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-4393
Country	:	US
Telephone Number	:	479-709-7433
Fax Number	:	479-709-6809

Provider Business Practice Location Address
First Line	:	1001 TOWSON AVE STE 400
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-4921
Country	:	US
Telephone Number	:	479-709-7433
Fax Number	:	479-709-6809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2015
Last Update Date	:	03/11/2026

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Directions to “ MISHALA REBECCA BATEMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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