Provider Demographics
NPI:1154827889
Name:ELLISON, CIANI M (MD)
Entity Type:Individual
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First Name:CIANI
Middle Name:M
Last Name:ELLISON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:3900 W CAPITOL AVE
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-664-4568
Practice Address - Fax:501-603-9573
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2023-09-07
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Provider Licenses
StateLicense IDTaxonomies
ARE-165492085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology