Healthcare Provider Details

I. General information

NPI: 1932662137
Provider Name (Legal Business Name): ARUNPRASAD GUNASEKARAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2019
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 ROGERS AVE STE 501
FORT SMITH AR
72903-4073
US

IV. Provider business mailing address

PO BOX 776084
CHICAGO IL
60677-6084
US

V. Phone/Fax

Practice location:
  • Phone: 479-274-2370
  • Fax: 479-274-2380
Mailing address:
  • Phone: 479-573-3101
  • Fax: 479-274-2380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberE-21159
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: