Provider Demographics
NPI:1952353633
Name:ASAN M. ARIFF MD, PC
Entity Type:Organization
Organization Name:ASAN M. ARIFF MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-853-6011
Mailing Address - Street 1:5150 N 16TH ST
Mailing Address - Street 2:STE B232
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-3990
Mailing Address - Country:US
Mailing Address - Phone:623-875-0205
Mailing Address - Fax:623-977-8173
Practice Address - Street 1:13943 N 91ST AVENUE
Practice Address - Street 2:STE H100
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-3689
Practice Address - Country:US
Practice Address - Phone:623-875-0205
Practice Address - Fax:623-977-8173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ331995Medicaid
AZZ67887Medicare PIN