Healthcare Provider Details

I. General information

NPI: 1831379544
Provider Name (Legal Business Name): ARASH POURSINA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 HERLONG AVE S
ROCK HILL SC
29732-1158
US

IV. Provider business mailing address

PO BOX 20003
BELFAST ME
04915-4095
US

V. Phone/Fax

Practice location:
  • Phone: 803-329-1234
  • Fax: 803-328-1785
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number2021-01602
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2021-01602
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number32801
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: