Healthcare Provider Details

I. General information

NPI: 1912827866
Provider Name (Legal Business Name): FATIMA FAKHIR MUSHARRAF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 S 12TH ST
FORT SMITH AR
72901-4702
US

IV. Provider business mailing address

101 N 11TH ST APT 224
FORT SMITH AR
72901-2446
US

V. Phone/Fax

Practice location:
  • Phone: 479-424-3193
  • Fax:
Mailing address:
  • Phone: 479-424-3193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: