Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301095899 | MI |
N | 111NI0900X | Internist | 4301095899 | MI |
N | 207R00000X | Internist | E-8710 | AR |
N | 111NI0900X | Internist | E-8710 | AR |
Y | 207RH0000X | Hematologist | A154669 | CA |
NPI | 1477867877 |
---|---|
Provider Name | Dr. Shukaib Arslan |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Duarte, CA 91010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2010 |
Last Update Date | 11/11/2020 |