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INFECTIOUS DISEASE RESOURCE GROUP LLP NPI 1447280995


NPI Information

NPI: 1447280995
Provider Name: INFECTIOUS DISEASE RESOURCE GROUP LLP
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 04D2293081

Address:
1 SAINT VINCENT CIR
SUITE 160
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 661-0037
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INFECTIOUS DISEASE RESOURCE GROUP LLP is an infectious disease internal medicine in Little Rock, AR. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. INFECTIOUS DISEASE RESOURCE GROUP LLP NPI is 1447280995. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1 SAINT VINCENT CIR
SUITE 160
LITTLE ROCK, AR
ZIP 72205-405
Phone: (501) 661-0037
Fax: (501) 661-0038

The provider's authorized official is John E Dietrich .
The authorized official title is Partner and has the following contact phone number (501) 661-0037.

The CLIA number assigned to this NPI record is 04D2293081 - other - community settings with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 5/6/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15C164MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2143985002MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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