Healthcare Provider Details

I. General information

NPI: 1255363503
Provider Name (Legal Business Name): ARIF SOMANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 06/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS MN
55455
US

IV. Provider business mailing address

UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE STREET SE, MMC 742
MINNEAPOLIS MN
55455
US

V. Phone/Fax

Practice location:
  • Phone: 612-626-2916
  • Fax:
Mailing address:
  • Phone: 612-626-2916
  • Fax: 612-626-0413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number44396
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number44396
License Number StateMN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier12-01798
Identifier TypeOTHER
Identifier StateMN
Identifier IssuerMEDICA CHOICE
# 2
Identifier1590850
Identifier TypeOTHER
Identifier StateMN
Identifier IssuerARAZ
# 3
IdentifierHP35056
Identifier TypeOTHER
Identifier StateMN
Identifier IssuerHEALTHPARTNERS
# 4
Identifier0055224
Identifier TypeMEDICAID
Identifier StateMT
Identifier Issuer
# 5
Identifier1030455
Identifier TypeOTHER
Identifier StateMN
Identifier IssuerPREFERRED ONE
# 6
Identifier397106600
Identifier TypeMEDICAID
Identifier StateMN
Identifier Issuer
# 7
Identifier12-09026
Identifier TypeOTHER
Identifier StateMN
Identifier IssuerMEDICA PRIMARY
# 8
Identifier171026
Identifier TypeOTHER
Identifier StateMN
Identifier IssuerUCARE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: