Healthcare Provider Details

I. General information

NPI: 1154598183
Provider Name (Legal Business Name): ARASH AFSHINNIK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 07/09/2022
Certification Date: 07/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2823 FRESNO ST
FRESNO CA
93721-1324
US

IV. Provider business mailing address

2210 E ILLINOIS AVE STE 508
FRESNO CA
93701-2184
US

V. Phone/Fax

Practice location:
  • Phone: 559-459-3705
  • Fax:
Mailing address:
  • Phone: 559-459-3704
  • Fax: 559-459-3720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number2020-00009
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA126403
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License NumberA126403
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: