=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457291924
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MCPHERSON MEDICAL & DIAGNOSTIC, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2026
-----------------------------------------------------
Last Update Date | 04/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 307 MCKAY ST
-----------------------------------------------------
City | MACON
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63552-2029
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 660-385-3141
-----------------------------------------------------
Fax | 660-385-5866
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 307 MCKAY ST
-----------------------------------------------------
City | MACON
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63552-2029
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 660-385-3141
-----------------------------------------------------
Fax | 660-385-5866
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD, OWNER
-----------------------------------------------------
Name | ABDULLAH ARSHAD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 573-724-0083
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR1300X
-----------------------------------------------------
Taxonomy Name | Rural Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------