Provider Demographics
NPI:1194719203
Name:KASHIF, MUHAMMAD AHMER (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:AHMER
Last Name:KASHIF
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:PO BOX 2738
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71613-2738
Mailing Address - Country:US
Mailing Address - Phone:870-536-1400
Mailing Address - Fax:870-536-5196
Practice Address - Street 1:1801 W 40TH AVE
Practice Address - Street 2:SUITE 7A
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-6940
Practice Address - Country:US
Practice Address - Phone:870-536-1400
Practice Address - Fax:870-536-5196
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3969207RN0300X
ARE-3969207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR154159001Medicaid
AR154159001Medicaid
ARH47563Medicare UPIN