Provider Demographics
NPI:1023072816
Name:ARNAOUT, WALID S (MD)
Entity type:Individual
Prefix:MR
First Name:WALID
Middle Name:S
Last Name:ARNAOUT
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:18250 ROSCOE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4271
Mailing Address - Country:US
Mailing Address - Phone:818-280-3901
Mailing Address - Fax:805-379-9695
Practice Address - Street 1:18250 ROSCOE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4271
Practice Address - Country:US
Practice Address - Phone:818-280-3901
Practice Address - Fax:805-379-9695
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA531802086S0127X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG18350Medicare UPIN