Provider Demographics
NPI:1265431787
Name:SOHAIL, ATIF (MD, FACC)
Entity type:Individual
Prefix:
First Name:ATIF
Middle Name:
Last Name:SOHAIL
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1123
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76004-1123
Mailing Address - Country:US
Mailing Address - Phone:817-419-7220
Mailing Address - Fax:817-419-7222
Practice Address - Street 1:400 W ARBROOK BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-3174
Practice Address - Country:US
Practice Address - Phone:817-419-7220
Practice Address - Fax:817-419-7222
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7564207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K9960OtherBLUE CROSS/BLUE SHIELD
TX167445901Medicaid
TX0066KZOtherBLUE CROSS/BLUE SHIELD
TX167445901Medicaid
TX00W425Medicare PIN
TXG99858Medicare UPIN