Provider Demographics
NPI:1437102845
Name:ARIFF, ASAN M (MD)
Entity Type:Individual
Prefix:
First Name:ASAN
Middle Name:M
Last Name:ARIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2149 E WARNER ROAD SUITE 102
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284
Mailing Address - Country:US
Mailing Address - Phone:480-610-6100
Mailing Address - Fax:855-301-2151
Practice Address - Street 1:13943 N 91ST AVE
Practice Address - Street 2:STE H100
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-3689
Practice Address - Country:US
Practice Address - Phone:623-875-0205
Practice Address - Fax:623-977-8173
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ27094207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ449919Medicaid
AZ449919Medicaid
AZZ67888Medicare PIN