Kidwai, Arif Salah

Kidwai, Arif Salah is an individual health care provider with primary practice located at 400 Health Park Blvd Attn: Radiology Department, Saint Augustine FL 32086-5784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kidwai, Arif Salah can be contacted via phone (904) 819-4398.

Contact Information

Primary practice address
400 Health Park Blvd Attn: Radiology Department Saint Augustine FL 32086-5784
Fax: (904) 819-4976
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME90133 Florida

Profile Details

NPI number 1588632111
LBN Legal business name Kidwai, Arif Salah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jun 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588632111 NPPES
Florida Other P00848653 RAILROAD MEDICARE
Florida MEDICAID 760962350A RAILROAD MEDICARE
Florida MEDICAID 269673800 RAILROAD MEDICARE
Florida Other P00128609 RAILROAD MEDICARE

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