ABDUL EZELDIN M.D. P.A.
NPI 1164709036
Specialist in Pine Bluff, AR

Q: What is Abdul Ezeldin M.D. P.A.'s NPI number?

The NPI number for Abdul Ezeldin M.D. P.A. is 1164709036. It was assigned to this organization in the NPPES registry on November 7, 2011.

Q: What is Abdul Ezeldin M.D. P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 07, 2011

1801 W 40TH AVE STE 5C, PINE BLUFF, AR 71603(870) 534-1726(870) 534-0728 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Abdul Ezeldin M.d. P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABDUL EZELDIN M.D. P.A. (NPI 1164709036) is a healthcare organization registered as a specialist in Pine Bluff, Arkansas and active in the NPI registry since November 2011. The organization lists Abdul K Ezeldin, Owner, as its authorized official.

NPPES Registry Identity

NPI1164709036

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameABDUL EZELDIN M.D. P.A.

Location Address1801 W 40TH AVE STE 5CPine Bluff, AR 71603-6962

Mailing Address1801 W 40th Ave Ste 5c, P. O Box 1446Pine Bluff, AR 71603-6962 · (870) 534-1726 · Fax (870) 534-0728

Phone(870) 534-1726

Fax(870) 534-0728

Organization SubpartNo

Authorized OfficialAbdul K EzeldinOwner · (870) 534-1726

Enumeration DateNovember 7, 2011

Last NPPES UpdateMarch 19, 2014

✔ NPI 1164709036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AR · BE5718739

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1801 W 40TH AVE STE 5C, Pine Bluff, AR 71603

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abdul Ezeldin M.D. P.A.'s NPI number?

The NPI number for Abdul Ezeldin M.D. P.A. is 1164709036. It was assigned to this organization in the NPPES registry on November 7, 2011.

Where is Abdul Ezeldin M.D. P.A. located?

Abdul Ezeldin M.D. P.A. is located at 1801 W 40th Ave Ste 5C, Pine Bluff, AR 71603. The listed phone number is (870) 534-1726.

What is Abdul Ezeldin M.D. P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Abdul Ezeldin M.D. P.A. was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.