Individual
NIUSHA RAFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
845 JACKSON STREET, SAN FRANCISCO, CA 94133-4851
(415) 677-2325
(415) 677-2444
Mailing address
PO BOX 1764, LODI, CA 95241-1764
(415) 677-2325
(415) 677-2444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A96782
AL
2085R0202X
Diagnostic Radiology Physician
Primary
A96782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A967820
—
CA
Enumeration date
09/22/2006
Last updated
03/06/2008
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