| Noydeen Medical Group- Russellville | |
|
1605 W Main St Russellville AR 72801-2719 | |
| (479) 219-5008 | |
| (479) 219-5025 |
| Full Name | Noydeen Medical Group- Russellville |
|---|---|
| Speciality | Internal Medicine |
| Location | 1605 W Main St, Russellville, Arkansas |
| Authorized Official Name and Position | Ahmed Ali (OWNER) |
| Authorized Official Contact | 5012094040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noydeen Medical Group- Russellville 1605 W Main St Russellville AR 72801-2719 Ph: (479) 219-5008 | Noydeen Medical Group- Russellville 1605 W Main St Russellville AR 72801-2719 Ph: (479) 219-5008 |
| NPI Number | 1578176194 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578176194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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