Provider Demographics
NPI:1841243532
Name:ARTHUR, ARVIN (MD)
Entity Type:Individual
Prefix:
First Name:ARVIN
Middle Name:
Last Name:ARTHUR
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 1:5301 F STREET
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3221
Mailing Address - Country:US
Mailing Address - Phone:916-452-2011
Mailing Address - Fax:916-452-2234
Practice Address - Street 1:5301 F STREET
Practice Address - Street 2:SUITE 207
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3221
Practice Address - Country:US
Practice Address - Phone:916-452-2011
Practice Address - Fax:916-452-2234
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC37057207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Not Answered207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C370570Medicaid
CA00C370570Medicaid
A36465Medicare UPIN