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SARK OPL NPI 1558893776


NPI Information

NPI: 1558893776
Provider Name: SARK OPL

Doing Business As: SARC MSG, LLC

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 04D2135841

Address:
7200 S HAZEL ST
PINE BLUFF, AR
ZIP 71603
Phone: (870) 534-2900
Get Directions

SARK OPL is a cardiovascular disease internal medicine in Pine Bluff, AR. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SARK OPL NPI is 1558893776. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sarc Msg, Llc.

The provider's business location address is:

7200 S HAZEL ST
PINE BLUFF, AR
ZIP 71603-836
Phone: (870) 534-2900
Fax: (870) 534-9726

The provider's authorized official is Sadeem Mahmood .
The authorized official title is Owner and has the following contact phone number (870) 534-2900.

The CLIA number assigned to this NPI record is 04D2135841 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/28/2017 and was last updated on 1/4/2021.


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
1207RC0000XInternal MedicineCardiovascular DiseaseE-2652ARKANSASYes

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
1142512001MEDICAIDARKANSAS

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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