Healthcare Provider Details

I. General information

NPI: 1154706950
Provider Name (Legal Business Name): AHMED DAOUD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2015
Last Update Date: 07/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 W MARKHAM ST
LITTLE ROCK AR
72205-7101
US

IV. Provider business mailing address

5808 B ST APT 2B
LITTLE ROCK AR
72205-3368
US

V. Phone/Fax

Practice location:
  • Phone: 832-929-7124
  • Fax:
Mailing address:
  • Phone: 832-929-7124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number00000000000
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: