Provider Demographics
NPI:1144896432
Name:ARBABI, MASON (MD)
Entity type:Individual
Prefix:
First Name:MASON
Middle Name:
Last Name:ARBABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AMIRMOSHSEN
Other - Middle Name:
Other - Last Name:ARBABI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 W DICKERSON ST APT 426
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-4762
Mailing Address - Country:US
Mailing Address - Phone:650-276-8248
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-323-6047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY59951208M00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program