Provider Demographics
NPI:1902843303
Name:ARAB, DINESH (MD)
Entity type:Individual
Prefix:
First Name:DINESH
Middle Name:
Last Name:ARAB
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 1:103 MEMORIAL MEDICAL PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-5671
Mailing Address - Country:US
Mailing Address - Phone:386-615-1521
Mailing Address - Fax:386-671-0694
Practice Address - Street 1:103 MEMORIAL MEDICAL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-5672
Practice Address - Country:US
Practice Address - Phone:386-615-1521
Practice Address - Fax:386-671-0694
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95354207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL275109700Medicaid
FL275109700Medicaid
FLU7622ZMedicare PIN