Provider Demographics
NPI:1447912340
Name:ALRWASHDEH, ANAS MALIK (MBBS)
Entity type:Individual
Prefix:DR
First Name:ANAS
Middle Name:MALIK
Last Name:ALRWASHDEH
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 W MARKHAM ST APT 4231
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3874
Mailing Address - Country:US
Mailing Address - Phone:501-502-7679
Mailing Address - Fax:501-200-9418
Practice Address - Street 1:4601 W MARKHAM
Practice Address - Street 2:UAMS, SHOREY BUILDING, 3RD FLOOR
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3874
Practice Address - Country:US
Practice Address - Phone:501-502-7679
Practice Address - Fax:501-200-9418
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program