Healthcare Provider Details

I. General information

NPI: 1861056533
Provider Name (Legal Business Name): DANIYAL ARSHAD BASHIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DANIYAL ARSHAD BASHIR MD

II. Dates (important events)

Enumeration Date: 04/27/2019
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 E SHERMAN BLVD STE 2400
MUSKEGON MI
49444-1886
US

IV. Provider business mailing address

1150 E SHERMAN BLVD STE 2400
MUSKEGON MI
49444-1886
US

V. Phone/Fax

Practice location:
  • Phone: 231-672-4243
  • Fax: 231-727-4214
Mailing address:
  • Phone: 231-672-4243
  • Fax: 231-727-4214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number4301512610
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number4301512610
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: