Provider Demographics
NPI:1518320878
Name:GHANI, MOHAMMAD ARSHAD
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:ARSHAD
Last Name:GHANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 HAYES
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3749
Mailing Address - Country:US
Mailing Address - Phone:949-735-1722
Mailing Address - Fax:
Practice Address - Street 1:470 HAYES
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3749
Practice Address - Country:US
Practice Address - Phone:949-735-1722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-03
Last Update Date:2016-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver