Provider Demographics
NPI:1659377372
Name:ARASTU, HYDER HUSAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HYDER
Middle Name:HUSAIN
Last Name:ARASTU
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:PO BOX 751069
Mailing Address - Street 2:ECU PHYSICIANS RADIATION ONCOLOGY
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 MOYE BLVD
Practice Address - Street 2:LEO JENKINS CANCER SERVICES
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4300
Practice Address - Country:US
Practice Address - Phone:252-744-1888
Practice Address - Fax:252-744-7005
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96008082085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11691OtherBCBS NC
NC920003197OtherRAILROAD MEDICARE
NC3591091OtherCIGNA
NCP01619305OtherRR MEDICARE
NC8911691Medicaid
NCB39790Medicare UPIN
NCNC1868F503Medicare PIN
NC920003197OtherRAILROAD MEDICARE
NCP01619305OtherRR MEDICARE