Individual
SOPHIA RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 TAYLOR BLVD, STE 101, PLEASANT HILL, CA 94523-2147
(925) 825-8878
(925) 825-8613
Mailing address
1450 TREAT BLVD # 300, WALNUT CREEK, CA 94597-2168
(925) 952-2828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A85649
CA
2085R0001X
Radiation Oncology Physician
Primary
A85649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ19745Z
PTAN
CA
Enumeration date
11/29/2006
Last updated
09/21/2021
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