1265967376 NPI number — IMAN MOSTAPHA ARAFA M.D.

Table of content: IMAN MOSTAPHA ARAFA M.D. (NPI 1265967376)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265967376 NPI number — IMAN MOSTAPHA ARAFA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARAFA
Provider First Name:
IMAN
Provider Middle Name:
MOSTAPHA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265967376
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 W PUEBLO ST
Provider Second Line Business Mailing Address:
SANTA BARBARA COTTAGE HOSPITAL MEDICAL EDUCATION OFFICE
Provider Business Mailing Address City Name:
SANTA BARBARA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93105-4353
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-569-7315
Provider Business Mailing Address Fax Number:
805-569-8358

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 W PUEBLO ST
Provider Second Line Business Practice Location Address:
SANTA BARBARA COTTAGE HOSPITAL MEDICAL EDUCATION OFFICE
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-4353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-7315
Provider Business Practice Location Address Fax Number:
805-569-8358
Provider Enumeration Date:
04/26/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)