Healthcare Provider Details

I. General information

NPI: 1003809898
Provider Name (Legal Business Name): MOHAMMAD H ARBABI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 FRANCE AVE S
EDINA MN
55435-1700
US

IV. Provider business mailing address

3400 W 66TH ST STE 290
EDINA MN
55435-2133
US

V. Phone/Fax

Practice location:
  • Phone: 952-924-8117
  • Fax: 844-422-7933
Mailing address:
  • Phone: 952-914-1720
  • Fax: 844-422-7933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34304
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: