Provider Demographics
NPI:1750470456
Name:SOBERANO, ARLENE SENA (MD,MPH)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:SENA
Last Name:SOBERANO
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:DR
Other - First Name:ARLENE
Other - Middle Name:
Other - Last Name:SENA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 271647
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-1647
Mailing Address - Country:US
Mailing Address - Phone:919-966-7890
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-2536
Practice Address - Fax:919-966-6714
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501412207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC86391Medicare UPIN
NCP20771Medicare UPIN