Atiya N Waheed


Address: 1608 W 42nd Ave, Pine Bluff, AR 71603-7006

Atiya N Waheed (NPI# 1326097197, PAC ID# 1456545656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1326097197
PAC ID by PECOS 1456545656
Professional Enrollment ID I20101102000314
Full Name Atiya N Waheed
Address 1608 W 42nd Ave
Pine Bluff
AR 71603-7006
Gender F
Graduation Year 1964
Primary Specialty FAMILY PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
040071 JEFFERSON REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1101 S Tennessee St, Pine Bluff, AR 71601-5801 8705432380 JEFFERSON COMPREHENSIVE CARE SYSTEM, INC
1608 W 42nd Ave, Pine Bluff, AR 71603-7006

Organization Information

Office Location

Street Address 1608 W 42ND AVE
City PINE BLUFF
State AR
Zip 71603-7006

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Diane C. Boyd Nurse Practitioner Southeast Arkansas Behavioral Healthcare System Inc 2500 Rike Dr, Pine Bluff, AR 71603-3937
Joyce A Walker Clinical Social Worker Southeast Arkansas Behavioral Healthcare System Inc 2500 Rike Dr, Pine Bluff, AR 71603-3937
Terrell P Bishop Psychiatry Southeast Arkansas Behavioral Healthcare System Inc 2500 Rike Dr, Pine Bluff, AR 71603-3937
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Competitor

Search similar physicians

City PINE BLUFF
Zip Code 71603
Specialty FAMILY PRACTICE
City + Specialty PINE BLUFF + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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