Soheila Benrazavi, MD
Internal Medicine in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1003339722
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1003339722
- Entity type
- Individual (NPI-1)
- Name
- Soheila Benrazavi
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2017
- Last updated
- Jun 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A73058 | CA | Yes |
Practice location
4730 Hoen AveSanta Rosa, CA 95405-9540
Phone 707-528-1616
Mailing address
4730 Hoen AveSanta Rosa, CA 95405-7868
Phone 707-528-1616
Is something wrong?
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