Provider Demographics
NPI:1154484129
Name:ARIF, SABREENA (MD)
Entity Type:Individual
Prefix:DR
First Name:SABREENA
Middle Name:
Last Name:ARIF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:PO BOX 3127
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 SHADY LN
Practice Address - Street 2:SUITE 102
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-8807
Practice Address - Country:US
Practice Address - Phone:570-546-4180
Practice Address - Fax:570-546-4187
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429853207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018969890003Medicaid
PAI70657Medicare UPIN
PA1018969890003Medicaid
PAP00767899Medicare PIN