Individual
ROSHAN RAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1117 DEVONSHIRE AVE, ATTN: CAROL WOOD, GME OFFICE, HEMET VALLEY MEDICAL CENT, HEMET, CA 92543
(760) 975-1239
Mailing address
200 HAWKINS DR., DEPT OF FAMILY MEDICINE, IOWA CITY, IA 52242-1009
(760) 975-1239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R-11066
IA
208D00000X
General Practice Physician
Primary
B5147164
CA
Other
Enumeration date
05/04/2016
Last updated
09/06/2017
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