Provider Demographics
NPI:1205899572
Name:SARKAR, PURNIMA (MD)
Entity type:Individual
Prefix:MRS
First Name:PURNIMA
Middle Name:
Last Name:SARKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 2ND ST
Mailing Address - Street 2:
Mailing Address - City:EARLE
Mailing Address - State:AR
Mailing Address - Zip Code:72331-1634
Mailing Address - Country:US
Mailing Address - Phone:870-792-8825
Mailing Address - Fax:870-792-8834
Practice Address - Street 1:1605 2ND ST
Practice Address - Street 2:
Practice Address - City:EARLE
Practice Address - State:AR
Practice Address - Zip Code:72331-1634
Practice Address - Country:US
Practice Address - Phone:870-792-8825
Practice Address - Fax:870-792-8834
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE2405207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR142565001Medicaid
AR142565001Medicaid
AR5L7241836Medicare Oscar/Certification
H29413Medicare UPIN
AR5L7241841Medicare Oscar/Certification
AR57297Medicare PIN