Provider Demographics
NPI:1194900670
Name:ARIF, FARHAN AHMAD (MD)
Entity type:Individual
Prefix:
First Name:FARHAN
Middle Name:AHMAD
Last Name:ARIF
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 1:8251 PINE RD STE 212
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2194
Mailing Address - Country:US
Mailing Address - Phone:513-841-0222
Mailing Address - Fax:513-841-0638
Practice Address - Street 1:8251 PINE RD STE 212
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2194
Practice Address - Country:US
Practice Address - Phone:513-841-0222
Practice Address - Fax:513-841-0222
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2578207R00000X
OH35-093002207R00000X, 208M00000X
OH35093002207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2957082Medicaid
KY7100191800Medicaid
IN200999970Medicaid
IN200999970Medicaid
OH2957082Medicaid
KY7100191800Medicaid
TXTXB158195Medicare PIN
TXTXB158192Medicare PIN