Provider Demographics
NPI:1386638898
Name:ARIF, SOHAIL (MD)
Entity type:Individual
Prefix:DR
First Name:SOHAIL
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 1:43 BARKLEY CIR
Mailing Address - Street 2:STE. 201
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-4510
Mailing Address - Country:US
Mailing Address - Phone:239-936-5250
Mailing Address - Fax:239-936-9970
Practice Address - Street 1:43 BARKLEY CIR
Practice Address - Street 2:STE. 201
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-4510
Practice Address - Country:US
Practice Address - Phone:239-936-5250
Practice Address - Fax:239-936-9970
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1503282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ17459OtherBLUE CARD
MA150328OtherTUFTS
MA3181774Medicaid
MA1500699OtherEVERCARE
MA150328OtherTUFTS MEDICARE PREFERRED
MAJ17459OtherBC/BS OF MASSACHUSETTS
MAJ17459OtherFEDERAL BC/BS
MA3181774Medicaid
MAG39272Medicare UPIN
MAA21987Medicare PIN