Provider Demographics
NPI:1750380408
Name:ARSIWALA, MOHAMMED (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:
Last Name:ARSIWALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17197 N LAUREL PARK DR
Mailing Address - Street 2:STE 107
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-7910
Mailing Address - Country:US
Mailing Address - Phone:734-542-6100
Mailing Address - Fax:734-542-6102
Practice Address - Street 1:37595 7 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1003
Practice Address - Country:US
Practice Address - Phone:734-542-6100
Practice Address - Fax:734-542-6102
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301065784207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110H227310OtherBCBS
MI700H221550OtherBCBS
MI700H229760OtherBCBS
MIP00685041OtherRAILROAD MEDICARE
MIP00826913OtherRAILROAD MEDICARE
MI4603184Medicaid
MI4995709Medicaid
MI700H228480OtherBCN
MI4113719Medicaid
MIDN2395OtherRAILROAD MEDICARE GROUP
MIP00951226OtherRAILROAD MEDICARE IND PIN
MI1750380408Medicaid
MI1861791998Medicaid
MI740H107360OtherBCBS OF MI
MI2838139OtherMEDICAID OHIO
MI4843707Medicaid
MIP00610343OtherRAILROAD MEDICARE
MI0227034OtherDEPT OF LABOR MI
MI1108268351OtherBCBS
MI110E017250OtherBCBS
MI700E019030OtherBCN
MI700H222890OtherBCN
MI1477806875Medicaid
MI20833330800OtherOHIO WORK COMP
MI4722882Medicaid
MI700E019030OtherBCN
MI0227034OtherDEPT OF LABOR MI
MI110E017250OtherBCBS
MI1477806875Medicaid
MI0P17540002Medicare PIN
MI2838139OtherMEDICAID OHIO
MI1861791998Medicaid
MIMI2308001Medicare PIN
MI740H107360OtherBCBS OF MI
MI700H228480OtherBCN
MI700H222890OtherBCN
MI1750380408Medicare PIN
MI0M96680001Medicare PIN