Provider Demographics
NPI:1285084038
Name:NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC
Entity type:Organization
Organization Name:NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-209-4040
Mailing Address - Street 1:655 DAVE WARD DR STE 103
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-7145
Mailing Address - Country:US
Mailing Address - Phone:501-209-4040
Mailing Address - Fax:501-205-1776
Practice Address - Street 1:655 DAVE WARD DR STE 103
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-7145
Practice Address - Country:US
Practice Address - Phone:501-209-4040
Practice Address - Fax:501-205-1776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty