Provider Demographics
NPI:1942694419
Name:ARSHAD, HAROON (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROON
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 1:14 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9655
Mailing Address - Country:US
Mailing Address - Phone:917-940-5448
Mailing Address - Fax:
Practice Address - Street 1:565 W 125TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-3424
Practice Address - Country:US
Practice Address - Phone:917-940-5448
Practice Address - Fax:973-627-4908
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10165100207Q00000X
NY296393207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine