Provider Demographics
NPI:1548068364
Name:ARKANSAS HEALTH PLLC
Entity type:Organization
Organization Name:ARKANSAS HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHANDRAKANTH
Authorized Official - Middle Name:
Authorized Official - Last Name:BODDU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:929-229-8734
Mailing Address - Street 1:305 ROCK STREET
Mailing Address - Street 2:SUITE 1409
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6708
Practice Address - Country:US
Practice Address - Phone:870-472-8465
Practice Address - Fax:870-472-8219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty