DR. ALLAM A KOWATLI (NPI# 1073538534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073538534 |
| Entity Type | Individual |
| Full Name | DR. ALLAM A KOWATLI |
| Other Name | ALLAM A ALKOWATLI |
| Credential | M.D. |
| Practice Address |
7 Shackleford West Blvd Little Rock AR 72211-3714 |
| Practice Telephone | 5016645860 |
| Practice Fax Number | 5016640889 |
| Mailing Telephone | 5016645860 |
| Mailing Fax Number | 5016640889 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
E2545 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
7 SHACKLEFORD WEST BLVD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485302 | Scott L Beau | Internal Medicine | 7 Shackleford West Blvd, Little Rock, AR 72211 | 2005-08-30 |
| 1801411285 | Allyson D Carroll | Dietitian, Registered | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2020-06-11 |
| 1104476720 | Abigail Grace Connerly | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-09-16 |
| 1013560655 | Angela Denise Cheves | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-07-23 |
| 1922565233 | Crystal E Meziere | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-02-22 |
| 1134685217 | Felicia Mae Johnson | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-02-14 |
| 1588132948 | Lauren Elizabeth Mcbride | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-11-05 |
| 1144705047 | Cassandra Love | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-09-27 |
| 1457832842 | Marissa Boggs | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-08-24 |
| 1568955441 | Jared H Umland | Physician Assistant | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679875017 | Abdel Rahman A Al Emam | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205 | 2010-11-17 |
| 1265691976 | Vijay N. Raja | Internal Medicine | 7 Shackleford West Blvd, Little Rock, AR 72211 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497041982 | Jerson Munoz Mendoza | Internal Medicine | 3343 Springhill Dr Ste 1035, North Little Rock, AR 72117-2930 | 2011-06-22 |
| 1225126626 | Lensey Crashun Scott | Internal Medicine | 525 Western Ave Ste 202, Conway, AR 72034-4980 | 2006-10-11 |
| 1982648663 | Northwest Arkansas Heart & Vascular Center | Internal Medicine | 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 | 2006-06-15 |
| 1306889407 | Loyd E Nugent | Internal Medicine | 2701 Se J St, Bentonville, AR 72712-4266 | 2006-06-14 |
| 1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
| 1508825647 | L. Parker Norris | Internal Medicine | 625 United Dr Ste 220, Conway, AR 72032-7835 | 2006-03-18 |
| 1740266998 | Vishwanatha S Nadig | Internal Medicine | 405 E Collin Raye Dr Ste C, De Queen, AR 71832 | 2005-12-20 |
| 1851386833 | Aldo Vicente Fonticiella | Internal Medicine | 619 W Grove St, El Dorado, AR 71730-4413 | 2005-09-15 |
| 1114919107 | Allan B Hatch | Internal Medicine | 1000 Highway 35 N, Suite 8, Benton, AR 72019-2351 | 2005-08-17 |
| 1437154036 | Jeffrey George Tauth | Internal Medicine | 110 Cracker Box Ln, Hot Springs National Park, AR 71913-5418 | 2005-06-20 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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| 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.