Dr. Fares A Mashal, MD
Internal Medicine in Little Rock, AR. Individual provider (NPI-1).
NPI number1164059507
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1164059507
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fares A Mashal
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2020
- Certification date
- Jun 26, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | E-16575 | AR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4301 W Markham St # 795Little Rock, AR 72205-7101
Phone 501-686-5636 · Fax 501-320-7788
Mailing address
4301 W Markham # 783Little Rock, AR 72205-7101
Phone 501-686-8000 · Fax 501-526-5148
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