Healthcare Provider Details

I. General information

NPI: 1578561528
Provider Name (Legal Business Name): ELIAS J ARBID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 CARDIOLOGY DR
ROCK HILL SC
29732-1174
US

IV. Provider business mailing address

196 CARDIOLOGY DR
ROCK HILL SC
29732-1174
US

V. Phone/Fax

Practice location:
  • Phone: 803-324-5135
  • Fax: 803-324-8161
Mailing address:
  • Phone: 803-324-5135
  • Fax: 803-324-8161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101221429
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number201800885
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number0101221429
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number76348
License Number StateMA
# 5
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD82195
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: