Basic Information
| Provider Information | |||||||||
| NPI: | 1750612065 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HIDA | ||||||||
| FirstName: | SVEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11001 EXECUTIVE CENTER DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 722114393 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5012190721 | ||||||||
| FaxNumber: | 5012241198 | ||||||||
| Practice Location | |||||||||
| Address1: | 9501 BAPTIST HEALTH DR STE 165 | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 722056226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5012190721 | ||||||||
| FaxNumber: | 5012241198 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/26/2010 | ||||||||
| LastUpdateDate: | 08/08/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | D95214 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 207RG0300X | 251199 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | 207RG0100X | E-12642 | AR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 207R00000X | E-12642 | AR | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RG0100X | 251199 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.