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Contact Information

VAFA N FERDOWSIAN, DPM
1120 HOGAN LN STE B
CONWAY, AR72034-8216
 Phone: 501-327-3668
 Fax: 501-327-3664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for VAFA N FERDOWSIAN · (Male)

NPI # 1033182837
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/10/2006
Last updated 01/02/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 230
  • AR Medicaid 156810717
  • AR Other 7176701 AETNA NUMBER
  • AR Other 5N327 BCBS INDIVIDUAL NUMBER
  • AR Other 5764142 CIGNA INDIVIDUAL NUMBER
  • AR Other 05080020100 QUALCHOICE INDIVIDUAL NUM
  • AR Other P00304134 RAILROAD MEDICARE NUMBER
Hospital affiliation(s)
  • CONWAY REGIONAL MEDICAL CENTER - (Acute Care)
    2302 COLLEGE AVENUE
    CONWAY, AR 72034
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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