Healthcare Provider Details
I. General information
NPI: 1053667980
Provider Name (Legal Business Name): HAFIZA SOBIA ARSHAD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/29/2012
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3800 S NATIONAL AVE STE 510
SPRINGFIELD MO
65807-5284
US
IV. Provider business mailing address
PO BOX 802843
KANSAS CITY MO
64180-2843
US
V. Phone/Fax
- Phone: 417-875-3000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 57292 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | 57292 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 57292 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: