Healthcare Provider Details

I. General information

NPI: 1336728344
Provider Name (Legal Business Name): JOSHUA HEKMATJAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 WEST MARKHAM, SLOT 576
LITTLE ROCK AR
72205
US

IV. Provider business mailing address

4301 WEST MARKHAM, SLOT 576
LITTLE ROCK AR
72205
US

V. Phone/Fax

Practice location:
  • Phone: 501-686-6194
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA202839
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: