Individual
DR. ARIF SALAH KIDWAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
283 DEER VALLEY DR, PONTE VEDRA, FL 32081-8358
(904) 686-9713
Mailing address
283 DEER VALLEY DR, PONTE VEDRA, FL 32081-8358
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME90133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269673800
—
FL
05
—
760962350A
—
GA
01
—
P00128609
RAILROAD MEDICARE
FL
01
—
P00848653
RAILROAD MEDICARE
FL
Enumeration date
03/09/2006
Last updated
12/25/2024
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