Provider Demographics
NPI:1528017555
Name:ARASTU, HUSAIN (MD)
Entity type:Individual
Prefix:DR
First Name:HUSAIN
Middle Name:
Last Name:ARASTU
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 1:28771 HOOVER RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-4152
Mailing Address - Country:US
Mailing Address - Phone:586-573-0100
Mailing Address - Fax:586-573-3645
Practice Address - Street 1:28771 HOOVER RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-4152
Practice Address - Country:US
Practice Address - Phone:586-573-0100
Practice Address - Fax:586-573-3645
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010478162080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2603908Medicaid
MIF04690Medicare UPIN