Sholeh Rahimi Md Phd, A Professional Medical Corporation | |
1625 Creekside Dr Ste 100 Folsom CA 95630-3819 | |
(775) 830-1797 | |
Not Available |
Full Name | Sholeh Rahimi Md Phd, A Professional Medical Corporation |
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Speciality | Clinic/Center |
Location | 1625 Creekside Dr Ste 100, Folsom, California |
Authorized Official Name and Position | Sholeh Rahimi (PHYSICIAN) |
Authorized Official Contact | 7758301797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sholeh Rahimi Md Phd, A Professional Medical Corporation 645 Lakecrest Dr El Dorado Hills CA 95762-3768 Ph: (775) 830-1797 | Sholeh Rahimi Md Phd, A Professional Medical Corporation 1625 Creekside Dr Ste 100 Folsom CA 95630-3819 Ph: (775) 830-1797 |
NPI Number | 1861874562 |
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Provider Enumeration Date | 06/18/2015 |
Last Update Date | 06/18/2015 |
Medicare PECOS PAC ID | 9931417409 |
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Medicare Enrollment ID | O20151002000229 |
Identifier | Type | State | Issuer |
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1861874562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | A98424 (California) | Primary |
Provider Name | Sholeh Rahimi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427183003 PECOS PAC ID: 0648302620 Enrollment ID: I20151002000315 |
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