Provider Demographics
NPI:1487601712
Name:YUNUS, NAUMAN (MD)
Entity type:Individual
Prefix:DR
First Name:NAUMAN
Middle Name:
Last Name:YUNUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 W 40TH AVE
Mailing Address - Street 2:ATTN: HOSPITALIST PROGRAM
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-6301
Mailing Address - Country:US
Mailing Address - Phone:870-541-8767
Mailing Address - Fax:870-541-8761
Practice Address - Street 1:1600 W 40TH AVE
Practice Address - Street 2:ATTN: HOSPITALIST PROGRAM
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-6301
Practice Address - Country:US
Practice Address - Phone:870-541-8738
Practice Address - Fax:870-541-8761
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE0891207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5K173OtherBLUE CROSS
AR130203001Medicaid
AR5K173F391Medicare UPIN
AR5K173Medicare PIN