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Search › Arkansas › General Practice Physician

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
75

Registry record

Primary taxonomy
General Practice Physician
208D00000X
Also registered as
Student in an Organized Health Care Education/Training Program
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