Provider Demographics
NPI:1518999655
Name:ARSHAD, MAQBOOL (MD)
Entity Type:Individual
Prefix:MR
First Name:MAQBOOL
Middle Name:
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 1:3201 S 16TH ST
Mailing Address - Street 2:STE 2020
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215
Mailing Address - Country:US
Mailing Address - Phone:414-647-2326
Mailing Address - Fax:414-647-1511
Practice Address - Street 1:3201 S 16TH ST
Practice Address - Street 2:STE 2020
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215
Practice Address - Country:US
Practice Address - Phone:414-647-2326
Practice Address - Fax:414-647-1511
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI27155207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30719500Medicaid
WI41568600Medicaid
WI000101265Medicare PIN
B51247Medicare UPIN
WI30719500Medicaid