Individual
RAHMAT AFRASIABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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