Avicenna Health | |
3019 Brighton Pt Fort Smith AR 72903-5477 | |
(833) 284-2362 | |
(479) 777-7123 |
Full Name | Avicenna Health |
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Speciality | Internal Medicine |
Location | 3019 Brighton Pt, Fort Smith, Arkansas |
Authorized Official Name and Position | Ahmad Kaako (FOUNDER) |
Authorized Official Contact | 4799269426 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avicenna Health 3019 Brighton Pt Fort Smith AR 72903-5477 Ph: (833) 284-2362 | Avicenna Health 3019 Brighton Pt Fort Smith AR 72903-5477 Ph: (833) 284-2362 |
NPI Number | 1528617222 |
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Provider Enumeration Date | 09/05/2019 |
Last Update Date | 11/12/2020 |
Medicare PECOS PAC ID | 8123450301 |
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Medicare Enrollment ID | O20191108000242 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528617222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ahmad Kaako |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679798995 PECOS PAC ID: 7416142302 Enrollment ID: I20101117001185 |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Rvpcs Northside Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4900 Kelley Highway, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Fort Smith Eye Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8301 Rogers Ave, Doctor's Office, Fort Smith, AR 72903 Phone: 479-452-1580 Fax: 479-452-6910 | |
Premise Health - Rheem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Old Greenwood Rd, Fort Smith, AR 72908 Phone: 479-242-4290 Fax: 479-242-4640 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |
Available Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 Rogers Ave, Suite 1, Fort Smith, AR 72903 Phone: 479-452-6362 Fax: 479-484-5652 |