Abdul G Arshad, MD
Individual provider Active NPI Surgery Physician · Adrian, MI
NPI 1669489258 · NPPES record last updated Apr 27, 2012
Key facts
- NPI
- 1669489258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 4301057336 (MI)
- Practice address
- 750 High St
Adrian, MI 49221-1443 - Phone
- (517) 264-5111
- Fax
- (517) 264-5139
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20061201000354 | MI | Practitioner - General Surgery | 1153329016 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Corporation of Michigan | Surgery | Current |
Accepting new patients |
Locations
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301057336 | MI | Yes |
Addresses
Primary practice location
750 High St
Adrian, MI 49221-1443
Mailing address
750 High St
Adrian, MI 49221-1443
Phone (517) 264-5111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100069 | Other | GLHP | |
| 5875 | Other | HPM | |
| P00349654 | Other | RRMC | |
| 4516080 | Other | AETNA | |
| 03806 | Other | PARAMOUNT | |
| 204600541 | Other | BCBS MI | |
| 000000494797 | Other | ANTHEM | |
| 121607 | Other | PRIORITY HEALTH | |
| 4957430 | Medicaid | MI |
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2012. 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.