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NPI Code Detail

MEDICARE: ARIF GOREJA MD

MEDICARE: ARIF GOREJA 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
1207R00000XInternal Medicine Physician01072001AIN
2207RN0300XNephrology Physician01072001AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447215611
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIF GOREJA MD
Provider Business Mailing Address
First Line : 3245 HEALTH DR.
Second Line : SUITE 100
City : GRANGER
State : IN
Zip : 46530-3245
Country : US
Telephone Number : 547-647-1840
Fax Number :
Provider Business Practice Location Address
First Line : 2235 CLEVELAND RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46628-3529
Country : US
Telephone Number : 574-647-4530
Fax Number : 574-647-2285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 02/05/2024

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Directions to “ ARIF GOREJA MD” Practice Location

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