Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Idean Pourshams, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952006843

Dr. Idean Pourshams, MD is a Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1125 N College Ave # SLOT100
Fayetteville, AR 72703-1908
Phone: (479) 713-8310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1952006843
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2023
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

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