OrganizationActive
Intensivist Group,llc
NPI 1457723884 · Pulmonary Disease Physician · Conway, AR
Provider details
- NPI number
- 1457723884
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ladly Abraham, President(501) 852-5500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
650 United Dr Ste 200
Conway, AR 72032-7001
Phone: (501) 852-5500
Fax: (501) 358-6196
Approximate (ZIP-level) locationGet directions
Mailing address
650 United Dr Ste 200
Conway, AR 72032-7001
Registry dates
- Enumerated
- 2015-10-26
- Last updated
- 2021-03-04
- Certified
- 2021-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.