Provider Demographics
NPI:1609753524
Name:ARSANIOS, KHALIL
Entity type:Individual
Prefix:MR
First Name:KHALIL
Middle Name:
Last Name:ARSANIOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6837
Mailing Address - Country:US
Mailing Address - Phone:774-473-1543
Mailing Address - Fax:508-992-6601
Practice Address - Street 1:308 MILL ST # 1
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3866
Practice Address - Country:US
Practice Address - Phone:774-473-1543
Practice Address - Fax:508-992-6601
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)