Provider Demographics
NPI:1205455581
Name:ARIF, CHIA (MD)
Entity type:Individual
Prefix:
First Name:CHIA
Middle Name:
Last Name:ARIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10025 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-4329
Mailing Address - Country:US
Mailing Address - Phone:407-382-4218
Mailing Address - Fax:407-380-3228
Practice Address - Street 1:10025 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-4329
Practice Address - Country:US
Practice Address - Phone:407-382-4218
Practice Address - Fax:407-380-3228
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME165691207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program