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NPI Code Detail

MEDICARE: RENAT ARSLANOV MD

MEDICARE: RENAT ARSLANOV MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianP6775TX
2208M00000XHospitalist PhysicianP6775TX
3208000000XPediatrics Physician246229NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679574941
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENAT ARSLANOV MD
Provider Business Mailing Address
First Line : 22 SAW MILL RIVER RD
Second Line :
City : HAWTHORNE
State : NY
Zip : 10532-1533
Country : US
Telephone Number : 914-593-1606
Fax Number : 914-593-1790
Provider Business Practice Location Address
First Line : 4350 VAN CORTLANDT PARK E
Second Line :
City : BRONX
State : NY
Zip : 10470-1875
Country : US
Telephone Number : 718-231-6565
Fax Number : 718-231-8477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 01/08/2018

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