Basic Information
Provider Information
NPI: 1760669022
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAFII
FirstName: ROKHSARA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4150 V ST
Address2: SUITE 3400
City: SACRAMENTO
State: CA
PostalCode: 958171460
CountryCode: US
TelephoneNumber: 9167343564
FaxNumber:  
Practice Location
Address1: 4150 V ST
Address2: SUITE 3400
City: SACRAMENTO
State: CA
PostalCode: 958171460
CountryCode: US
TelephoneNumber: 9167343564
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/29/2008
LastUpdateDate: 11/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X245074NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XA104223CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200XA104223CAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XA104223CAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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