Provider Demographics
NPI:1073616611
Name:ARIF, FAREED AHMED (MD)
Entity Type:Individual
Prefix:DR
First Name:FAREED
Middle Name:AHMED
Last Name:ARIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:550 GAGE BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9532
Mailing Address - Country:US
Mailing Address - Phone:509-942-3156
Mailing Address - Fax:509-735-6998
Practice Address - Street 1:510 N COLORADO ST
Practice Address - Street 2:STE A
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7770
Practice Address - Country:US
Practice Address - Phone:509-735-6689
Practice Address - Fax:509-735-6998
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00043592174400000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8415572Medicaid
WAGAB11964Medicare ID - Type Unspecified
WA8415572Medicaid