Provider Demographics
NPI:1699849125
Name:GHAURI, ARSHAD (MD)
Entity Type:Individual
Prefix:
First Name:ARSHAD
Middle Name:
Last Name:GHAURI
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 1:601 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1930
Mailing Address - Country:US
Mailing Address - Phone:409-772-0817
Mailing Address - Fax:409-772-0885
Practice Address - Street 1:1601 RIO GRANDE ST
Practice Address - Street 2:340
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1137
Practice Address - Country:US
Practice Address - Phone:512-324-8960
Practice Address - Fax:512-324-8962
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2899207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149390005Medicaid
TX149390008Medicaid
TX149390006Medicaid
TX149390007Medicaid
TX149390002Medicaid
TX149390002Medicaid
TXTXB156701Medicare PIN
TX149390005Medicaid
TXH51064Medicare UPIN
TX149390008Medicaid
TX149390006Medicaid
TXTXB159321Medicare PIN
TXTXB156696Medicare PIN