Provider Demographics
NPI:1568492544
Name:ARSHAD, TAMJEED (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMJEED
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 1:2055 EAST SOUTH BLVD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116
Mailing Address - Country:US
Mailing Address - Phone:334-613-0807
Mailing Address - Fax:334-386-4175
Practice Address - Street 1:2055 EAST SOUTH BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116
Practice Address - Country:US
Practice Address - Phone:334-613-0807
Practice Address - Fax:334-386-4175
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23264207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL10372Medicaid
AL051006980OtherBLUE SHIELD PROVIDER #
AL23264OtherMEDICAL LICENSE
AL051510372OtherBLUE SHIELD PROVIDER #
AL051510372OtherBLUE SHIELD PROVIDER #
G17460Medicare UPIN
10372Medicare ID - Type Unspecified