Provider Demographics
NPI:1780628875
Name:ARAB, MEHDI K (MD)
Entity Type:Individual
Prefix:
First Name:MEHDI
Middle Name:K
Last Name:ARAB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6555 COYLE AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0302
Mailing Address - Country:US
Mailing Address - Phone:916-965-4612
Mailing Address - Fax:916-965-9384
Practice Address - Street 1:6555 COYLE AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0302
Practice Address - Country:US
Practice Address - Phone:916-965-4612
Practice Address - Fax:916-965-9384
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA42130208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE24934Medicare UPIN