Adnan S Arshad
Individual provider Active NPI Taxi · Shirley, NY
NPI 1497219281 · NPPES record last updated Jan 25, 2019
Key facts
- NPI
- 1497219281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Taxi 344600000X
- License
- 05363391 (NY)
- Practice address
- 49 Surrey Cir
Shirley, NY 11967-2528 - Phone
- (631) 772-6075
- Fax
- (631) 772-6713
- NPI assigned
- Jan 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05363391 | NY | MD | Taxi |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 668 Car Service | Taxi | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | 05363391 | NY | Yes |
Addresses
Primary practice location
49 Surrey Cir
Shirley, NY 11967-2528
Mailing address
19 S Edison Ext
Montauk, NY 11954-5330
Phone (631) 668-1040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05363391 | Medicaid | NY |
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.