Provider Demographics
NPI:1497180418
Name:ARSHAD, SANNA I (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SANNA
Middle Name:I
Last Name:ARSHAD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9655
Mailing Address - Country:US
Mailing Address - Phone:347-610-2528
Mailing Address - Fax:
Practice Address - Street 1:239 AVENEL ST STE 4
Practice Address - Street 2:
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1400
Practice Address - Country:US
Practice Address - Phone:973-406-6564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00317100363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant