Provider Demographics
NPI:1578124038
Name:ARIF, ALI (MD)
Entity type:Individual
Prefix:
First Name:ALI
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 1:1165 RETREAT CIRCLE
Mailing Address - Street 2:JOHNSON'S RETREAT
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1320
Mailing Address - Country:US
Mailing Address - Phone:267-945-9937
Mailing Address - Fax:
Practice Address - Street 1:1821 SWEETBAY DR STE 2
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1664
Practice Address - Country:US
Practice Address - Phone:410-546-4427
Practice Address - Fax:443-736-4671
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0099011207RN0300X, 207RN0300X
PAMT218913207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD310142800Medicaid