Healthcare Provider Details

I. General information

NPI: 1780145771
Provider Name (Legal Business Name): TALHAH ZAIN SIRAJ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2019
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 SANTA FE DR
SEARCY AR
72143-6964
US

IV. Provider business mailing address

711 SANTA FE DR
SEARCY AR
72143-6964
US

V. Phone/Fax

Practice location:
  • Phone: 501-279-9393
  • Fax:
Mailing address:
  • Phone: 501-279-9393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number31621
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number31621
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: