MEDICARE: ATIF SOHAIL M.D., F.A.C.C.

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	207RC0000X	Cardiovascular Disease Physician	L7564	TX
2	207RI0011X	Interventional Cardiology Physician	L7564	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8K9960	OTHER	TX	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0066KZ	OTHER	TX	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1265431787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATIF SOHAIL M.D., F.A.C.C.

Provider Business Mailing Address
First Line	:	PO BOX 1123
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76004-1123
Country	:	US
Telephone Number	:	817-419-7220
Fax Number	:	817-419-7222

Provider Business Practice Location Address
First Line	:	400 W ARBROOK BLVD
Second Line	:	SUITE 220
City	:	ARLINGTON
State	:	TX
Zip	:	76014-3174
Country	:	US
Telephone Number	:	817-419-7220
Fax Number	:	817-419-7222

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	12/17/2013

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Directions to “ ATIF SOHAIL M.D., F.A.C.C.” Practice Location

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