Provider Demographics
NPI:1720271505
Name:ARSHAD AHAD MD PA
Entity Type:Organization
Organization Name:ARSHAD AHAD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AHAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-613-0075
Mailing Address - Street 1:3390 TAMIAMI TRL STE 205
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8162
Mailing Address - Country:US
Mailing Address - Phone:323-254-0046
Mailing Address - Fax:
Practice Address - Street 1:3390 TAMIAMI TRL
Practice Address - Street 2:STE 205
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8157
Practice Address - Country:US
Practice Address - Phone:941-613-0075
Practice Address - Fax:941-613-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77951207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46733OtherBCBS FL
FLP00079988OtherRR MEDICARE
FL258854400Medicaid