Provider Demographics
NPI:1114909199
Name:ARAIN, MOHAMMAD SOHAIB (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:SOHAIB
Last Name:ARAIN
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 1:208 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MS
Mailing Address - Zip Code:39345-2613
Mailing Address - Country:US
Mailing Address - Phone:601-683-0279
Mailing Address - Fax:601-683-0366
Practice Address - Street 1:208 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MS
Practice Address - Zip Code:39345-2613
Practice Address - Country:US
Practice Address - Phone:601-683-0279
Practice Address - Fax:601-683-0366
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS14794207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00116968Medicaid
MS37026429Medicare ID - Type Unspecified
MS00116968Medicaid