Provider Demographics
NPI:1306905187
Name:ARIF, MURTAZA (MD)
Entity type:Individual
Prefix:DR
First Name:MURTAZA
Middle Name:
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 1:410 W GRAND PKWY S STE 4B
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8361
Mailing Address - Country:US
Mailing Address - Phone:832-437-8619
Mailing Address - Fax:832-437-2958
Practice Address - Street 1:410 W GRAND PKWY S STE 4B
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8361
Practice Address - Country:US
Practice Address - Phone:832-437-8619
Practice Address - Fax:832-437-2958
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49563-020207R00000X
MO2010028601207RG0100X
TXQ5339207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO152360484Medicare PIN