Provider Demographics
NPI:1447812540
Name:ARSHAD, WAQAAR AHMED (DO)
Entity type:Individual
Prefix:
First Name:WAQAAR
Middle Name:AHMED
Last Name:ARSHAD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3569 WAXWING WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-6425
Mailing Address - Country:US
Mailing Address - Phone:925-922-7170
Mailing Address - Fax:
Practice Address - Street 1:3226 KENDRICK RD APT 14
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9207
Practice Address - Country:US
Practice Address - Phone:925-922-7170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-3733207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine