Provider Demographics
NPI:1154369577
Name:ARSLAN, WAQAS (MD)
Entity type:Individual
Prefix:
First Name:WAQAS
Middle Name:
Last Name:ARSLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 E THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-8034
Mailing Address - Country:US
Mailing Address - Phone:602-470-5000
Mailing Address - Fax:
Practice Address - Street 1:2525 E ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-4948
Practice Address - Country:US
Practice Address - Phone:602-344-1015
Practice Address - Fax:602-344-1174
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1476207RX0202X
AZ40427207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175714801Medicaid
AZ3082120OtherCIGNA
TX8S7058OtherBLUE CROSS OF TEXAS
NY02360534Medicaid
AZ345200Medicaid
TX175714801Medicaid
AZZ134192Medicare PIN
TX8D8369Medicare PIN
NY02360534Medicaid
TX8J0577Medicare PIN
AZ3082120OtherCIGNA
I39187Medicare UPIN
TX8G3040Medicare PIN