Provider Demographics
NPI:1003123555
Name:ALLEN IVES ARIEFF, MD, INC
Entity Type:Organization
Organization Name:ALLEN IVES ARIEFF, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUJATA
Authorized Official - Middle Name:AJAY
Authorized Official - Last Name:NAIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-323-3301
Mailing Address - Street 1:13939 E 14TH ST
Mailing Address - Street 2:STE 170
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-2601
Mailing Address - Country:US
Mailing Address - Phone:310-433-3038
Mailing Address - Fax:415-332-1205
Practice Address - Street 1:13939 E 14TH ST
Practice Address - Street 2:STE 170
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-2601
Practice Address - Country:US
Practice Address - Phone:310-433-3038
Practice Address - Fax:415-332-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-04
Last Update Date:2010-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG17509207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty