NPI 1689007189 · live from the CMS NPI Registry
Healthfair Plus PA
Radiology, Diagnostic Radiology in Bentonville, AR. National Provider Identifier 1689007189, active.
NPI record
| NPI | 1689007189 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 608 Sw 8th St, 6th Floor, Bentonville, AR 72712 |
| Practice phone | 407-672-0919 |
| Mailing address | 1030 Spring Villas PT Ste 3000, Winter Springs, FL 32708 |
| Enumerated | August 20, 2013 |
| Last updated | January 15, 2016 |
| Authorized official | Ray Ekbatani, Chief Administrative Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | — |
| Ophthalmology | 207W00000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.