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General NPI Number Information
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NPI Number | 1801995964
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Entity Type | Individual
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Provider Name | ABDENOUR ABIB MD
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 4300 W 7TH ST CAVHS #110
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5446
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Country | US
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Telephone | 501-257-5232
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-0000
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Fax | 410-500-4266
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E-4691
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | D0103047
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License Number State | MD
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