Healthcare Provider Details

I. General information

NPI: 1265960801
Provider Name (Legal Business Name): ARSALAN AHMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2017
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOUCHER ST
NEW ORLEANS LA
70115-3515
US

IV. Provider business mailing address

3500 GASTON AVE
DALLAS TX
75246-2017
US

V. Phone/Fax

Practice location:
  • Phone: 504-210-4472
  • Fax:
Mailing address:
  • Phone: 469-855-5340
  • Fax: 214-820-7272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number323551
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: