Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 0101239945 | VA |
NPI | 1053351544 |
---|---|
Provider Name | Gohar Arslan |
First Address | Portsmouth, VA 23704-2816 |
Second Address | Portsmouth, VA 23704-2816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 07/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010285518 | (05) | VA |
10012710 | OPTIMA (01) | |
201175 | ANTHEM BCBS PROVIDER # (01) | VA |
2158923 | UNITED HEALTHCARE (01) | |
5905720 | NC MEDICAID (01) | NC |
7468752 | AETNA (01) | |
G45261 | (02) | VA |
P00330533 | RAILROAD MEDICARE (01) |