| Fakhar Ijaz, MD | |
|
500 S University Ave, Suite 508, Little Rock, AR 72205 | |
| (501) 588-1100 | |
| (501) 588-1750 |
| Full Name | Fakhar Ijaz |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 30 Years |
| Location | 500 S University Ave, Little Rock, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487653820 | NPI | - | NPPES |
| 158903001 | Medicaid | AR | |
| 1592743-05 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L5200 (Texas) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | E4531 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita - Jacksonville Central Dialysis Ctr | Jacksonville, AR | Dialysis facility |
| Davita - Little Rock Dialysis | Little rock, AR | Dialysis facility |
| Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
| Baptist Health Medical Center North Little Rock | North little rock, AR | Hospital |
| Chi-st Vincent Infirmary | Little rock, AR | Hospital |
| St Vincent Medical Center/north | Sherwood, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kidney Care Center, Pllc | 7416048772 | 6 |
| Entity Name | Kidney Care Center, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124142971 PECOS PAC ID: 7416048772 Enrollment ID: O20070801000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Fakhar Ijaz, MD 500 S University Ave Ste 508, Little Rock, AR 72205-5306 Ph: (501) 588-1100 | Fakhar Ijaz, MD 500 S University Ave, Suite 508, Little Rock, AR 72205 Ph: (501) 588-1100 |
Lonnie E Harrison, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-664-5860 Fax: 501-664-0889 | |
Muthu Veera Kumaran, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-6033 Fax: 501-686-8932 | |
Tanvi Harishbhai Patel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 508, Little Rock, AR 72205 Phone: 501-686-7105 Fax: 501-526-5906 | |
Gaurav Dhar, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Anthony R Giglia Iii, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 5800 W 10th St, Ste 610 Freeway Medical Center, Little Rock, AR 72204 Phone: 501-661-9393 Fax: 501-663-4795 | |
Brian Bean, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: #2 St Vincent Circle, Little Rock, AR 72205 Phone: 501-552-3592 Fax: 501-552-4129 | |
Joseph Wayne Forney Sr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-614-3606 Fax: 501-663-5017 |