Provider Demographics
NPI:1447395660
Name:CARDIOLOGY ASSOCIATES OF HOT SPRINGS, PA
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF HOT SPRINGS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALKOWATLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-625-3400
Mailing Address - Street 1:180 MEDICAL PARK PL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-8065
Mailing Address - Country:US
Mailing Address - Phone:501-625-3400
Mailing Address - Fax:501-625-3402
Practice Address - Street 1:180 MEDICAL PARK PL
Practice Address - Street 2:SUITE 102
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-8065
Practice Address - Country:US
Practice Address - Phone:501-625-3400
Practice Address - Fax:501-625-3402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMC2011207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F586OtherBCBS GROUP PROVIDER NO
AR14861802Medicaid