Search › Arkansas › 208D00000X
Samuil Ivanovsky
NPI 1417698317 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4301 W Markham St # 634
Little Rock, AR 72205 - Phone
- (501) 686-7592
- Clinicians at this address
- 72
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 390200000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas