Basic Information
Provider Information | |||||||||
NPI: | 1629253281 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | ARSHAD | ||||||||
FirstName: | SAIMA | ||||||||
MiddleName: | JABEEN | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 301 UNIVERSITY BLVD | ||||||||
Address2: |   | ||||||||
City: | GALVESTON | ||||||||
State: | TX | ||||||||
PostalCode: | 775555302 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4097722222 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 301 UNIVERSITY BLVD | ||||||||
Address2: |   | ||||||||
City: | GALVESTON | ||||||||
State: | TX | ||||||||
PostalCode: | 775555302 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4097722222 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/02/2008 | ||||||||
LastUpdateDate: | 04/26/2019 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MD.30222 | AL | N |   | Allopathic & Osteopathic Physicians | Emergency Medicine |   | 208000000X | 002728 | GA | N |   | Allopathic & Osteopathic Physicians | Pediatrics |   | 208000000X | MD.30222 | AL | N |   | Allopathic & Osteopathic Physicians | Pediatrics |   | 208000000X | P7243 | TX | Y |   | Allopathic & Osteopathic Physicians | Pediatrics |   |
ID Information
ID | Type | State | Issuer | Description | 511-10172 | 01 | AL | BCBS | OTHER | 123097 | 05 | AL |   | MEDICAID | 511-07432 | 01 | AL | BCBS | OTHER | Z10938 | 01 | AL | VIVA HEALTH | OTHER | 119757 | 05 | AL |   | MEDICAID | 1629253281 | 01 | AL | TRICARE SOUTH | OTHER |