Provider Demographics
NPI:1386730158
Name:ARSHAD, MOHAMMAD J (DO)
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:J
Last Name:ARSHAD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 ORLEANS RD
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-2148
Mailing Address - Country:US
Mailing Address - Phone:508-430-1220
Mailing Address - Fax:508-430-5029
Practice Address - Street 1:1421 ORLEANS RD
Practice Address - Street 2:
Practice Address - City:HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645-2148
Practice Address - Country:US
Practice Address - Phone:508-430-1220
Practice Address - Fax:508-430-5029
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234328207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2147611Medicaid
MA000423001Medicare PIN
I24158Medicare UPIN