Veronica Matehbi Aletum, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Conway, AR
NPI 1750078069 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1750078069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2302 College Ave
Conway, AR 72034-6297 - Phone
- (501) 329-3831
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241023000105 | AR | Order and Referring Only - Internal Medicine |
9830622349 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2302 College Ave
Conway, AR 72034-6297
Mailing address
2302 College Ave
Conway, AR 72034-6297
Other providers in Conway, AR
- Chequita Alcorn
- Jacob Alcorn
- Joshua Alcorn
- Mikayla Maria Alderson
- Alexandra Aldridge
- Chase Alexande
- Justin Lane Alexander
- Shirley Alexander
- Thomas Gene Alfano
- Ahmed Ali
All providers in Conway, AR · Student in an Organized Health Care Education/Training Program in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.