Provider Demographics
NPI:1124129762
Name:ARKIEH, ANTOINE FOUAD (MD)
Entity type:Individual
Prefix:
First Name:ANTOINE
Middle Name:FOUAD
Last Name:ARKIEH
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 1:8 KIMBALL CT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01805-0001
Mailing Address - Country:US
Mailing Address - Phone:781-365-0024
Mailing Address - Fax:
Practice Address - Street 1:8 KIMBALL CT
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-0001
Practice Address - Country:US
Practice Address - Phone:781-365-0024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11269R207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA495732OtherTUFTS HEALTH PLAN
1124129762OtherAETNA - HMO
A160343OtherINTEGRATED HEALTH PLANS
NH30206535OtherNH MEDICAID
MA2130874Medicaid
4535223OtherCIGNA
4535223OtherHEALTHSOURCE
960283-01OtherNETWORK HEALTH
MAJ41204OtherBUE CROSS BLUE SHIELD
33-01635OtherEVERCARE
MAAA80802OtherHARVARD PILGRIM HEALTHCAR
NHG25877OtherANTHEM BLUE CROSS
4535223OtherCIGNA
MAG25877Medicare UPIN