SOUTH ARKANSAS CARDIOLOGY P.L.L.C. NPI 1568567188

NPI Information

  • NPI: 1568567188
  • Provider Name: SOUTH ARKANSAS CARDIOLOGY, P.L.L.C.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 04D2282747
  • Address: 7200 S HAZEL ST
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 534-2900

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NPI Details

SOUTH ARKANSAS CARDIOLOGY, P.L.L.C. 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. SOUTH ARKANSAS CARDIOLOGY, P.L.L.C. NPI is 1568567188. The provider is registered as an organization entity type and is a single specialty group.

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 Doctor / Owner and has the following contact phone number (870) 534-2900.

The CLIA number assigned to this NPI record is 04D2282747 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/26/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseE2652ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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