| Raja Hassan Imtiaz, MD | |
|
1700 Harrison St Ste T, Batesville, AR 72501-7315 | |
| (870) 262-6155 | |
| (870) 262-6512 |
| Full Name | Raja Hassan Imtiaz |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 14 Years |
| Location | 1700 Harrison St Ste T, Batesville, 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 |
|---|---|---|---|
| 1861054181 | NPI | - | NPPES |
| 321206001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | E-17096 (Arkansas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | E17096 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| White River Medical Center | Batesville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| White River Health System, Inc. | 0143134270 | 164 |
| Pain Treatment Centers Of America Pllc | 2769608819 | 57 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558447599 PECOS PAC ID: 0143134270 Enrollment ID: O20080206000654 |
| Entity Name | Pain Treatment Centers Of America Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Raja Hassan Imtiaz, MD 1710 Harrison St, Batesville, AR 72501-7303 Ph: (870) 262-6155 | Raja Hassan Imtiaz, MD 1700 Harrison St Ste T, Batesville, AR 72501-7315 Ph: (870) 262-6155 |
John R Larson, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Sidney St, Suite 203, Batesville, AR 72501 Phone: 870-262-6155 Fax: 870-262-6152 | |
Meraj Siddiqui, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Harrison St Ste T, Batesville, AR 72501 Phone: 870-262-6155 Fax: 870-262-6512 | |
Samuel Chase Turner, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Harrison St Ste T, Batesville, AR 72501 Phone: 870-262-6155 Fax: 870-262-6512 |