Healthcare Provider Details

I. General information

NPI: 1205405255
Provider Name (Legal Business Name): ABINAV SATISHKUMAR LEVA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 N RODNEY PARHAM RD STE 100
LITTLE ROCK AR
72212-2458
US

IV. Provider business mailing address

4200 N RODNEY PARHAM RD STE 100
LITTLE ROCK AR
72212-2458
US

V. Phone/Fax

Practice location:
  • Phone: 501-534-8888
  • Fax:
Mailing address:
  • Phone: 501-534-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number692254
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number314
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: