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Individual

RAHMAT AFRASIABI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3130 STILLWATER DR STE B, PRESCOTT, AZ 86305-7199
(928) 244-7540
(928) 237-5090
Mailing address
3130 STILLWATER DR STE B, PRESCOTT, AZ 86305-7199
(928) 244-7540
(928) 237-5090

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
51566
AZ
174400000X
Specialist
A45530
CA
207KA0200X
Allergy Physician
Primary
51566
AZ
207KA0200X
Allergy Physician
A45530
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A455300
CA
01
124053
MEDICAID
AZ
01
Z188722
PTAN
AZ
Enumeration date
02/14/2006
Last updated
09/08/2022
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