Healthcare Provider Details

I. General information

NPI: 1710964960
Provider Name (Legal Business Name): AYSHA ARSHAD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 ASHTON AVE STE 200
MANASSAS VA
20109-5688
US

IV. Provider business mailing address

8100 ASHTON AVE STE 200
MANASSAS VA
20109-5688
US

V. Phone/Fax

Practice location:
  • Phone: 877-415-4116
  • Fax: 571-358-3941
Mailing address:
  • Phone: 877-415-4116
  • Fax: 571-358-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number0101257761
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number239415
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number25MA07968700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: