Individual provider · Type 1 NPI

Samuil Ivanovsky

General Practice Physician · Little Rock, AR

NPI number 1417698317 Active

Practice location

4301 W Markham St # 634
Little Rock, AR 72205-7199

Call (501) 686-7592 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000XE-19099 (AR)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1417698317

Samuil Ivanovsky's National Provider Identifier is 1417698317, issued on Apr 5, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Little Rock, AR. The record was last updated on Aug 7, 2026.