Provider Demographics
NPI:1942268529
Name:SHOWKAT, ARIF (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIF
Middle Name:
Last Name:SHOWKAT
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 1:1407 UNION AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3641
Mailing Address - Country:US
Mailing Address - Phone:901-866-8748
Mailing Address - Fax:901-302-2034
Practice Address - Street 1:1325 EASTMORELAND AVE STE 220
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-7547
Practice Address - Country:US
Practice Address - Phone:901-866-8810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38643207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003180583AMedicaid
AL179477Medicaid
AR1548190001Medicaid
MO1942268529Medicaid
MS06772317Medicaid
TNQ003851Medicaid