Provider Demographics
NPI:1760419816
Name:MASOOD, ARSHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ARSHAD
Middle Name:
Last Name:MASOOD
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 1:1024 HILTON PARMA CORS RD
Mailing Address - Street 2:PO BOX 835
Mailing Address - City:HILTON
Mailing Address - State:NY
Mailing Address - Zip Code:14468-9328
Mailing Address - Country:US
Mailing Address - Phone:585-392-4114
Mailing Address - Fax:585-392-5226
Practice Address - Street 1:1024 HILTON PARMA CORS RD
Practice Address - Street 2:
Practice Address - City:HILTON
Practice Address - State:NY
Practice Address - Zip Code:14468-9328
Practice Address - Country:US
Practice Address - Phone:585-392-4114
Practice Address - Fax:585-392-5226
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190170207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2501882OtherGHI
NYMDF254OtherPREFERRED CARE
NYP010190170OtherBLUE CHOICE
NY01674006Medicaid
NY116272900OtherUS DEPT OF LABOR
NYP030190170OtherEXCELLUS BLUE CROSS
NY7945209OtherAETNA
NY116272900OtherUS DEPT OF LABOR
E88926Medicare UPIN