Provider Demographics
NPI:1083656599
Name:AQIL, ARSHAD (MD)
Entity Type:Individual
Prefix:
First Name:ARSHAD
Middle Name:
Last Name:AQIL
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 1:1070 E CARO RD
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1217
Mailing Address - Country:US
Mailing Address - Phone:989-672-0341
Mailing Address - Fax:989-672-0343
Practice Address - Street 1:1070 EAST CARO ROAD
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723
Practice Address - Country:US
Practice Address - Phone:989-672-0341
Practice Address - Fax:989-672-0343
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067880207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4783823Medicaid
MI4783823Medicaid
MIG28409Medicare UPIN