MEDICARE: DINESH ARAB M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME95354	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902843303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINESH ARAB M.D.

Provider Business Mailing Address
First Line	:	103 MEMORIAL MEDICAL PKWY STE 301
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5671
Country	:	US
Telephone Number	:	386-615-1521
Fax Number	:	386-671-0694

Provider Business Practice Location Address
First Line	:	103 MEMORIAL MEDICAL PKWY STE 200
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5672
Country	:	US
Telephone Number	:	386-615-1521
Fax Number	:	386-671-0694

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	06/11/2025

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