Healthcare Provider Details

I. General information

NPI: 1588709620
Provider Name (Legal Business Name): JAMEEL AHMAD BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 BAPTIST HEALTH DR SUITE 690
LITTLE ROCK AR
72205-6328
US

IV. Provider business mailing address

9601 BAPTIST HEALTH DR SUITE 690
LITTLE ROCK AR
72205-6328
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-8422
  • Fax: 501-537-1079
Mailing address:
  • Phone: 501-227-8422
  • Fax: 501-537-1079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number18919
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberC166369
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number58509
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberE-6071
License Number StateAR
# 5
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberE-6071
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: