Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD00043592 | WA |
NPI | 1073616611 |
---|---|
Provider Name | Dr. Fareed Ahmed Arif |
First Address | Richland, WA 99352-9532 |
Second Address | Kennewick, WA 99336-7770 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 05/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8415572 | (05) | WA |
I07731 | (02) | WA |