Provider Demographics
NPI:1952448284
Name:SANDOR, ZSOLT F (MD)
Entity Type:Individual
Prefix:
First Name:ZSOLT
Middle Name:F
Last Name:SANDOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 SOLOGNE CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-8915
Mailing Address - Country:US
Mailing Address - Phone:501-912-5962
Mailing Address - Fax:
Practice Address - Street 1:203 SOLOGNE CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-8915
Practice Address - Country:US
Practice Address - Phone:501-912-5962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-0224207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR126133001Medicaid
ARF92031Medicare UPIN