Provider Demographics
NPI:1851764211
Name:SHERWOOD PODIATRY
Entity Type:Organization
Organization Name:SHERWOOD PODIATRY
Other - Org Name:MAHBOD AREFI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DPM/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MAHBOD
Authorized Official - Middle Name:
Authorized Official - Last Name:AREFI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:347-886-3613
Mailing Address - Street 1:1958 FINSBURY CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2116
Mailing Address - Country:US
Mailing Address - Phone:513-429-4464
Mailing Address - Fax:
Practice Address - Street 1:1958 FINSBURY CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-2116
Practice Address - Country:US
Practice Address - Phone:513-918-2318
Practice Address - Fax:513-918-2318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-07
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36003583213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1740476886Medicare UPIN