Healthcare Provider Details

I. General information

NPI: 1265749626
Provider Name (Legal Business Name): ATUL KOTHARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 SPRINGHILL DR STE 350
NORTH LITTLE ROCK AR
72117-2964
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-945-0392
  • Fax: 501-235-2269
Mailing address:
  • Phone: 501-945-0392
  • Fax: 501-235-2269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberE8500
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-8500
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: