KHALED DOSTZADA (NPI# 1528696655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528696655 |
| Entity Type | Individual |
| Full Name | KHALED DOSTZADA |
| Credential | DO, MS |
| Practice Address |
4301 W Markham St # 556 Little Rock AR 72205-7101 |
| Mailing Address |
760 S Goldfinch Way Anaheim CA 92807-4420 |
| Practice Telephone | 5016031595 |
| Mailing Telephone | 7144032581 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Childrens Way # 556, Little Rock, AR 722023500 | 5016031595 |
| Street Address |
4301 W MARKHAM ST # 556 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043247547 | Philip Kenney | Radiology | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2006-06-28 |
| 1578189882 | Jameson Attaway Gilstrap | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-06-23 |
| 1730718545 | Jordan Lee Wells | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-04-03 |
| 1558999102 | Sanaz Ameli | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-03-30 |
| 1992332944 | Haider Rustem | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-03-26 |
| 1932736386 | Ross Holston | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-03-25 |
| 1285261941 | Anas Sayed Suliman Atassi | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-03-24 |
| 1114587623 | Rangarajan Purushothaman | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2019-06-17 |
| 1205399235 | Jeffrey Michael Lynch | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2019-04-08 |
| 1104387190 | Kori Kamaria Mansfield | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2019-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686571 | Prachi Saluja | Student in an Organized Health Care Education/Training Program | 2400 Riverfront Dr Apt 424, Little Rock, AR 72202-2219 | 2020-07-16 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1306460456 | Vidhu Vadini | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 634, University of Arkansas For, Little Rock, AR 77205 | 2020-06-04 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1336778950 | Duy Ha | Student in an Organized Health Care Education/Training Program | 1403 Kavanaugh Blvd, Little Rock, AR 72205-4323 | 2020-04-06 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1861021990 | Alexander Winslow Payne | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 552, Little Rock, AR 72205-7199 | 2020-04-01 |
| 1316575657 | Jonathan Colby Smith | Student in an Organized Health Care Education/Training Program | 4301 W Markham, Slot 602, Little Rock, AR 72205-7101 | 2020-03-31 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on KHALED DOSTZADA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.