Healthcare Provider Details

I. General information

NPI: 1265498752
Provider Name (Legal Business Name): ARSALAN T SHIRWANY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 06/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6025 WALNUT GROVE RD STE 112
MEMPHIS TN
38120
US

IV. Provider business mailing address

8060 WOLF RIVER BLVD
GERMANTOWN TN
38138-1727
US

V. Phone/Fax

Practice location:
  • Phone: 901-271-1000
  • Fax: 901-271-4187
Mailing address:
  • Phone: 901-271-1000
  • Fax: 901-271-4187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35776
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35776
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: