Healthcare Provider Details

I. General information

NPI: 1770846180
Provider Name (Legal Business Name): UNITED PAIN CARE LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 09/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7481 WARDEN RD
SHERWOOD AR
72120-5041
US

IV. Provider business mailing address

17901 CHENAL PKWY
LITTLE ROCK AR
72223-5831
US

V. Phone/Fax

Practice location:
  • Phone: 501-834-7246
  • Fax: 501-542-4295
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberE1687
License Number StateAR

VIII. Authorized Official

Name: MAHMOOD AHMAD
Title or Position: MD
Credential: M.D
Phone: 501-834-7246