Basic Information
| Provider Information | |||||||||
| NPI: | 1770015133 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AREF | ||||||||
| FirstName: | MOHAMMED | ||||||||
| MiddleName: | HANI M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, MBBS, FRCSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 25608 | ||||||||
| Address2: | |||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841250608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063204476 | ||||||||
| FaxNumber: | 2065687043 | ||||||||
| Practice Location | |||||||||
| Address1: | 550 17TH AVE STE 110 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063203470 | ||||||||
| FaxNumber: | 2063203471 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2017 | ||||||||
| LastUpdateDate: | 07/02/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | DR.0057045 | CO | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | MD60672612 | WA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.