SUPHAN MEDICAL CLINIC – NPI #1679764419
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SUPHAN MEDICAL CLINIC is a provider located in LITTLE ROCK, AR. NPPES has assigned the NPI number 1679764419 to SUPHAN MEDICAL CLINIC on August 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUPHAN MEDICAL CLINIC below.

NPI Profile for
SUPHAN MEDICAL CLINIC

NPI Number
1679764419
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUPHAN MEDICAL CLINIC
Primary location
11811 HINSON RD STE 200
LITTLE ROCK, AR 72212-3404
Phone: (501) 225-7500 Fax: (501) 225-7510
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NEEMA SUPHAN
PHYSICIAN
Phone: (501) 225-7500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
AR R-2871

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.