Provider Demographics
NPI:1164670543
Name:ALWBARI, AHMED MOHAMMED (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:MOHAMMED
Last Name:ALWBARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AHMED
Other - Middle Name:MOHAMMED
Other - Last Name:ALWBARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4301 W MARKHAM ST
Mailing Address - Street 2:SUITE-508
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8511
Mailing Address - Fax:501-686-7474
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:SUITE-508
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-686-8511
Practice Address - Fax:501-686-7474
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-7791207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARE-7791OtherARKANSAS STATE MEDICAL BOARD