Provider Demographics
NPI:1649214412
Name:ARSHAD AQIL MD PLLC
Entity Type:Organization
Organization Name:ARSHAD AQIL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AQIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-793-4420
Mailing Address - Street 1:1070 E CARO RD
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1217
Mailing Address - Country:US
Mailing Address - Phone:989-672-0341
Mailing Address - Fax:989-791-1392
Practice Address - Street 1:1070 E CARO RD
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723
Practice Address - Country:US
Practice Address - Phone:989-672-0341
Practice Address - Fax:989-672-0343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067880207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4783823Medicaid
MI0P23300Medicare PIN
MI4783823Medicaid