| Longevity Associates, Pllc | |
|
2300 Andover Ct Ste 400 Little Rock AR 72227-3990 | |
| (337) 991-9276 | |
| Not Available |
| Full Name | Longevity Associates, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 Andover Ct Ste 400, Little Rock, Arkansas |
| Authorized Official Name and Position | Oumitana Kajkenova (MEMBER) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Associates, Pllc 5750 Johnston St Ste 205 Lafayette LA 70503-5334 Ph: (337) 991-9276 | Longevity Associates, Pllc 2300 Andover Ct Ste 400 Little Rock AR 72227-3990 Ph: (337) 991-9276 |
| NPI Number | 1831626753 |
|---|---|
| Provider Enumeration Date | 05/23/2017 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 4183992266 |
|---|---|
| Medicare Enrollment ID | O20170613002643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831626753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Oumitana Kajkenova |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1053401521 PECOS PAC ID: 4880679109 Enrollment ID: I20040622000006 |
| Provider Name | Arpana Edala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265662969 PECOS PAC ID: 0941324487 Enrollment ID: I20100903000918 |
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