Basic Information
Provider Information | |||||||||
NPI: | 1154393510 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | ARIF | ||||||||
FirstName: | MUHAMMAD | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 424 SAVANNAH RD | ||||||||
Address2: |   | ||||||||
City: | LEWES | ||||||||
State: | DE | ||||||||
PostalCode: | 199581462 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3026453770 | ||||||||
FaxNumber: | 3026455718 | ||||||||
Practice Location | |||||||||
Address1: | 18947 JOHN J WILLIAMS HWY | ||||||||
Address2: |   | ||||||||
City: | REHOBOTH BEACH | ||||||||
State: | DE | ||||||||
PostalCode: | 199714474 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3026453770 | ||||||||
FaxNumber: | 3026455718 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 02/01/2006 | ||||||||
LastUpdateDate: | 07/23/2010 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | C10009345 | DE | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
ID | Type | State | Issuer | Description | 000000317977 | 01 | IN | ANTHEM PIN (ICCC) | OTHER | 407719 | 01 | IN | CIGNA PIN | OTHER | 000000514213 | 01 | IN | ANTHEM PIN (QOC) | OTHER | 200464220 | 05 | IN |   | MEDICAID |