Abdullah Arshad, MD., LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ABDULLAH ARSHAD, MD., LLC

Practice address

11796 Westline Industrial Dr
Saint Louis, MO 63146-3402

Phone

(573) 359-5546

NPI assigned

Jan 20, 2012

Last updated

Sep 19, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra M. Clark, RN

Title

Vice Chairman of the Board

Phone

(901) 881-0645

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1356612485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11796 WESTLINE INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463402",
            "telephone_number": "314-282-2957",
            "fax_number": "314-610-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11796 WESTLINE INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463402",
            "telephone_number": "573-359-5546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3175 Lenox Park Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381154399",
            "country_code": "US",
            "telephone_number": "888-311-3055",
            "fax_number": "901-881-0647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Dover Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370424155",
            "country_code": "US",
            "telephone_number": "888-311-3055",
            "fax_number": "901-881-0647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 N Parkway Ste A",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383052739",
            "country_code": "US",
            "telephone_number": "731-513-7001",
            "fax_number": "901-881-0647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 Flowering Dogwood Ln Apt F4",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242893",
            "country_code": "US",
            "telephone_number": "888-311-3055",
            "fax_number": "904-881-0647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABDULLAH ARSHAD, MD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "901-881-0645",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.