Provider Demographics
NPI:1528381878
Name:ARSHAD SIAL MD, INC.
Entity Type:Organization
Organization Name:ARSHAD SIAL MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARLISE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-882-6900
Mailing Address - Street 1:PO BOX 11362
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92423-1362
Mailing Address - Country:US
Mailing Address - Phone:909-882-6900
Mailing Address - Fax:909-882-6110
Practice Address - Street 1:399 E HIGHLAND AVE, STE 110
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3842
Practice Address - Country:US
Practice Address - Phone:909-882-6900
Practice Address - Fax:909-882-6110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72766207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A727661Medicare PIN