NPI 1366767972 · live from the CMS NPI Registry
Michael Israel, MD
Pediatrics, Adolescent Medicine in Little Rock, AR. National Provider Identifier 1366767972, active.
NPI record
| NPI | 1366767972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 1 Childrens Way, Slot 512-19a, Little Rock, AR 72202 |
| Practice phone | 501-364-1100 |
| Enumerated | April 7, 2010 |
| Last updated | December 16, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | E-8661 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.