Provider Demographics
NPI:1003809898
Name:ARBABI, MOHAMMAD H (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:H
Last Name:ARBABI
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 1:3400 W 66TH ST STE 290
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2133
Mailing Address - Country:US
Mailing Address - Phone:952-914-1720
Mailing Address - Fax:844-422-7933
Practice Address - Street 1:6500 FRANCE AVE S
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-1700
Practice Address - Country:US
Practice Address - Phone:952-924-8117
Practice Address - Fax:844-422-7933
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34304207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ948292Medicaid
AZ948292Medicaid
AZI35727Medicare UPIN