Provider Demographics
NPI:1760450126
Name:CABRERA, ARNOLD R (MD)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:R
Last Name:CABRERA
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 1:119 W IRON AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2600
Mailing Address - Country:US
Mailing Address - Phone:785-827-9526
Mailing Address - Fax:728-547-8682
Practice Address - Street 1:119 W IRON AVE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2600
Practice Address - Country:US
Practice Address - Phone:785-827-9526
Practice Address - Fax:785-827-2854
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04287502085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS300115684OtherRAILROAD MEDICARE
KSH03037Medicare UPIN
KS300115684OtherRAILROAD MEDICARE