Provider Demographics
NPI:1124084124
Name:BITON, VICTOR (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:
Last Name:BITON
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 1:2 LILE CT
Mailing Address - Street 2:STE 100
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6221
Mailing Address - Country:US
Mailing Address - Phone:501-227-5061
Mailing Address - Fax:501-227-5234
Practice Address - Street 1:2 LILE CT
Practice Address - Street 2:STE 100
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-227-5061
Practice Address - Fax:501-227-5234
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR-40852084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR120091001Medicaid
AR11652000040OtherQUAL-CHOICE
AR135333709OtherUNITED HEALTHCARE
AR340866OtherHEALTHLINK
AR340866OtherHEALTHLINK
ARE96913Medicare UPIN
AR135333709OtherUNITED HEALTHCARE