Healthcare Provider Details

I. General information

NPI: 1649214412
Provider Name (Legal Business Name): ARSHAD AQIL MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 E CARO RD
CARO MI
48723
US

IV. Provider business mailing address

1070 E CARO RD
CARO MI
48723-1217
US

V. Phone/Fax

Practice location:
  • Phone: 989-672-0341
  • Fax: 989-672-0343
Mailing address:
  • Phone: 989-672-0341
  • Fax: 989-791-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301067880
License Number StateMI

VIII. Authorized Official

Name: ARSHAD AQIL
Title or Position: OWNER
Credential: MD
Phone: 989-793-4420