Healthcare Provider Details

I. General information

NPI: 1053528554
Provider Name (Legal Business Name): MUHAMMAD ARIDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1236 HUFFMAN MILL RD STE 130
BURLINGTON NC
27215-8700
US

IV. Provider business mailing address

1200 N ELM ST
GREENSBORO NC
27401-1004
US

V. Phone/Fax

Practice location:
  • Phone: 336-438-1060
  • Fax:
Mailing address:
  • Phone: 336-832-7000
  • Fax: 336-851-8427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301075827
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: