Healthcare Provider Details

I. General information

NPI: 1861856940
Provider Name (Legal Business Name): SEYED ARSHIA ARSHAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 CLIFTON ROAD BLDG A 4TH FLR
ATLANTA GA
30322
US

IV. Provider business mailing address

1365 CLIFTON ROAD BLDG A 4TH FLR
ATLANTA GA
30322
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-3712
  • Fax:
Mailing address:
  • Phone: 404-778-3712
  • Fax: 404-778-5033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number100244
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number81742-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: