Individual provider · NPI-1

Dr. Maher Mohammad K. Abulfaraj, MD

Emergency Medicine, Pediatric Emergency Medicine · Little Rock, AR

NPI number1336554641
StatusActive
Last updated in NPPESAug 25, 2021

Details

NPI
1336554641
Entity type
Individual (NPI-1)
Name
Dr. Maher Mohammad K. Abulfaraj
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 25, 2014
Certification date
Aug 2, 2021
Last updated
Aug 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207PP0204X Emergency Medicine, Pediatric Emergency MedicineE-14337ARYes
207PP0204X Emergency Medicine, Pediatric Emergency MedicineMD470309PA
208000000X PediatricsE-14337AR
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1 Childrens Way # 512-13
Little Rock, AR 72202-3500

Phone 501-364-3082 · Fax 501-364-3084

Mailing address

Po Box 251418
Little Rock, AR 72225-1418

Phone 501-364-1100 · Fax 501-364-4082

Other practice locations

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Phone 215-590-3948

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