Healthcare Provider Details

I. General information

NPI: 1427751569
Provider Name (Legal Business Name): MASHHOOD ARIF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 GODWIN BLVD STE 360
SUFFOLK VA
23434-8153
US

IV. Provider business mailing address

2790 GODWIN BLVD STE 360
SUFFOLK VA
23434-8153
US

V. Phone/Fax

Practice location:
  • Phone: 757-261-8070
  • Fax: 757-995-7095
Mailing address:
  • Phone: 757-261-8070
  • Fax: 757-995-7095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101289469
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101289469
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: