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Individual
SOHEILA BENRAZAVI
Active
Individual
SOHEILA BENRAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A73058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
NO OTHER PROVIDER NUMBER ARE AVAILABLE
—
01
—
000000000000000
NO OTHER PROVIDER ID
—
Enumeration date
07/25/2017
Last updated
06/16/2018
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