Healthcare Provider Details

I. General information

NPI: 1548896483
Provider Name (Legal Business Name): JAWAD ARSHAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2020
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 W GREENWAY RD STE 125
PHOENIX AZ
85023-4226
US

IV. Provider business mailing address

2525 W GREENWAY RD STE 125
PHOENIX AZ
85023-4226
US

V. Phone/Fax

Practice location:
  • Phone: 480-573-0130
  • Fax: 480-573-0131
Mailing address:
  • Phone: 480-573-0130
  • Fax: 480-573-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number68673
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number68673
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: