Healthcare Provider Details

I. General information

NPI: 1992026918
Provider Name (Legal Business Name): ABEER HASHMI, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2010
Last Update Date: 06/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 LILE DR STE 888
LITTLE ROCK AR
72205-6233
US

IV. Provider business mailing address

9501 LILE DR STE 888
LITTLE ROCK AR
72205-6233
US

V. Phone/Fax

Practice location:
  • Phone: 501-202-6390
  • Fax: 501-202-6395
Mailing address:
  • Phone: 501-202-6390
  • Fax: 501-202-6395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE JONES
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 501-812-7216