MEDICARE: MOHAMMAD AMJAD ARAIN M.D.

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	A38905	CA

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
2	00A389050	OTHER	CA	BLUESHIELD PROVIDER #

General Provider Information

NPI Number	:	1639167158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD AMJAD ARAIN M.D.

Provider Business Mailing Address
First Line	:	1505 SHEPARD DR
Second Line	:	STE 104
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-7016
Country	:	US
Telephone Number	:	805-928-2645
Fax Number	:	805-928-1995

Provider Business Practice Location Address
First Line	:	1505 SHEPARD DR
Second Line	:	SUITE 131
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-7020
Country	:	US
Telephone Number	:	805-928-2645
Fax Number	:	805-928-1995

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	04/08/2020

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Directions to “ MOHAMMAD AMJAD ARAIN M.D.” Practice Location

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