NPI 1336554641 · live from the CMS NPI Registry
Maher Mohammad K. Abulfaraj, MD
Emergency Medicine, Pediatric Emergency Medicine in Little Rock, AR. National Provider Identifier 1336554641, active.
NPI record
| NPI | 1336554641 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine, Pediatric Emergency Medicine 207PP0204X |
| Practice location | 1 Childrens Way # 512-13, Little Rock, AR 72202 |
| Practice phone | 501-364-3082 |
| Mailing address | Po Box 251418, Little Rock, AR 72225 |
| Enumerated | June 25, 2014 |
| Last updated | August 25, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine, Pediatric Emergency Medicine | 207PP0204X | MD470309 (PA) |
| Pediatrics | 208000000X | E-14337 (AR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Emergency Medicine, Pediatric Emergency Medicine primary | 207PP0204X | E-14337 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.