Organization
SHAHLA P RAHMATULLAH M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAHLA P RAHMATULLAH MD (PROVIDER)
(949) 653-1300
Entity
Organization
Contact information
Practice address
4870 BARRANCA PKWY STE 230, IRVINE, CA 92604-4788
(949) 653-1300
(949) 653-1311
Mailing address
351 OLD NEWPORT BLVD, SUITE 212, NEWPORT BEACH, CA 92663-4120
(949) 653-1300
(949) 353-1311
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
00C519930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C519930
—
CA
Enumeration date
10/04/2007
Last updated
12/16/2009
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