Provider Demographics
NPI:1033172812
Name:ARSHAD, MUHAMMAD ABDUL-QUDDUS (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:ABDUL-QUDDUS
Last Name:ARSHAD
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 1:924 WAYCROSS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3022
Mailing Address - Country:US
Mailing Address - Phone:513-589-3014
Mailing Address - Fax:513-851-4800
Practice Address - Street 1:8146 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2324
Practice Address - Country:US
Practice Address - Phone:513-522-7500
Practice Address - Fax:513-728-4064
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1960141208000000X
OH35-085354208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01491652Medicaid
OH2820924Medicaid
OHBA4087931OtherDEA NUMBER
34J871Medicare PIN