Roshan Razavi, DO | |
1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | |
(760) 975-1239 | |
Not Available |
Full Name | Roshan Razavi |
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Gender | Male |
Speciality | General Practice |
Location | 1117 Devonshire Ave, Hemet, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891140265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R-11066 (Iowa) | Secondary |
208D00000X | General Practice | B5147164 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Roshan Razavi, DO 200 Hawkins Dr., Dept Of Family Medicine, Iowa City, IA 52242-1009 Ph: (760) 975-1239 | Roshan Razavi, DO 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 Ph: (760) 975-1239 |
Saad Farooq, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 1117 E Devonshire Ave, Hemet, CA 92543 Phone: 951-765-4910 | |
Iglal El Henawi, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 4020 W. Florida Ave, Hemet, CA 92545 Phone: 951-765-5000 Fax: 951-658-0237 | |
Dr. Angela Kay Williams, M. D. General Practice Medicare: Medicare Enrolled Practice Location: 39990 Faure Rd, Hemet, CA 92544 Phone: 951-708-4019 Fax: 951-767-9820 |