Provider Demographics
NPI:1023459682
Name:MOSHREF, ARIAN JOHN (DO)
Entity type:Individual
Prefix:
First Name:ARIAN
Middle Name:JOHN
Last Name:MOSHREF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18167 US HIGHWAY 19 N STE 100
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-6565
Mailing Address - Country:US
Mailing Address - Phone:727-233-4177
Mailing Address - Fax:
Practice Address - Street 1:18167 US HIGHWAY 19 N STE 100
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-6565
Practice Address - Country:US
Practice Address - Phone:727-233-4177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS14456202K00000X, 207R00000X
SC83344207R00000X, 2086S0129X, 208M00000X
MI5101022246207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty