MEDICARE: DR. MOHAMMAD H ARBABI MD

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	207R00000X	Internal Medicine Physician	34304	AZ

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

General Provider Information

NPI Number	:	1003809898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD H ARBABI MD

Provider Business Mailing Address
First Line	:	3400 W 66TH ST STE 290
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-2133
Country	:	US
Telephone Number	:	952-914-1720
Fax Number	:	844-422-7933

Provider Business Practice Location Address
First Line	:	6500 FRANCE AVE S
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-1700
Country	:	US
Telephone Number	:	952-924-8117
Fax Number	:	844-422-7933

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

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	11/06/2019

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