Provider Demographics
NPI:1801091335
Name:KHALEEQ U ARSHED MD
Entity type:Organization
Organization Name:KHALEEQ U ARSHED MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:KHALEEQ
Authorized Official - Middle Name:U
Authorized Official - Last Name:ARSHED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-426-9717
Mailing Address - Street 1:3756 75TH ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6496
Mailing Address - Country:US
Mailing Address - Phone:718-426-9717
Mailing Address - Fax:
Practice Address - Street 1:3756 75TH ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6496
Practice Address - Country:US
Practice Address - Phone:718-426-9717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126888208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00236604Medicaid
09145AMedicare ID - Type Unspecified
NY00236604Medicaid