Provider Demographics
NPI:1689422297
Name:AFRIDI, MUHAMMAD SOHAIB (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD SOHAIB
Middle Name:
Last Name:AFRIDI
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 1:3080 COLLEGE STREET, BAPTIST HOSPITALS OF SOUTHEAST TEX
Mailing Address - Street 2:ATTN:DEENA BREVELL
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701
Mailing Address - Country:US
Mailing Address - Phone:409-212-7463
Mailing Address - Fax:409-212-7459
Practice Address - Street 1:3080 COLLEGE STREET, BAPTIST HOSPITALS OF SOUTHEAST TEX
Practice Address - Street 2:ATTN:DEENA BREVELL
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701
Practice Address - Country:US
Practice Address - Phone:409-212-7463
Practice Address - Fax:409-212-7459
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2025-01-16
Deactivation Date:2025-01-09
Deactivation Code:
Reactivation Date:2025-01-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program