Organization Active NPI

Abdullah Arshad MD, LLC

Doing business as Hayti Medical and Diagnostics

  • Internal Medicine Physician
  • Hayti, MO
National Provider Identifier
1760025415
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ABDULLAH ARSHAD MD, LLC
Doing business as
Hayti Medical and Diagnostics
Practice address
223 S 3Rd St Ste C
Hayti, MO 63851-1617
Phone
(573) 479-3075
NPI assigned
Oct 25, 2019
Last updated
Oct 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Abdullah Arshad, MD
Title
President
Phone
(573) 724-0083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

223 S 3Rd St Ste C
Hayti, MO 63851-1617

Mailing address

223 S 3Rd St Ste C
Hayti, MO 63851-1617
Phone (573) 479-3075

Other identifiers 1

IdentifierTypeStateIssuer
209039403MedicaidMO

Other names 1

  • Hayti Medical and Diagnostics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Hayti Direct

National Provider Directory

National Provider Directory

Locations

223 S 3rd St
Ste C
Hayti, MO 63851
Phone (573) 479-3075

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1760025415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S 3RD ST STE C",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511617",
            "telephone_number": "573-479-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S 3RD ST STE C",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511617",
            "telephone_number": "573-479-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDULLAH ARSHAD MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "ARSHAD",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-724-0083",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209039403",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Hayti",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "223 S 3rd St Ste C",
            "city": "Hayti",
            "state": "MO",
            "country_code": "US",
            "postal_code": "638511617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hayti Medical and Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayti, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.