MEDICARE: AYHAN A ZIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	R6236	AR
2	207RI0011X	Interventional Cardiology Physician	ME129859	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	89-00483	OTHER	AZ	EVERCARE
2	AZ727530	OTHER	AZ	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1275632713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYHAN A ZIA MD

Provider Business Mailing Address
First Line	:	11001 EXECUTIVE CENTER DR STE 200
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-4393
Country	:	US
Telephone Number	:	479-709-7325
Fax Number	:	479-709-7335

Provider Business Practice Location Address
First Line	:	1500 DODSON AVE STE 60
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-5182
Country	:	US
Telephone Number	:	479-709-7325
Fax Number	:	479-709-7335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	04/09/2026

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Directions to “ AYHAN A ZIA MD” Practice Location

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