Healthcare Provider Details

I. General information

NPI: 1689940132
Provider Name (Legal Business Name): ARPIT R PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 06/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 MADISON ST
CLARENDON AR
72029-2706
US

IV. Provider business mailing address

245 MADISON ST
CLARENDON AR
72029-2706
US

V. Phone/Fax

Practice location:
  • Phone: 870-747-3381
  • Fax: 870-747-3631
Mailing address:
  • Phone: 870-747-3381
  • Fax: 870-747-3631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-9287
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: