ROSHAN RAZAVI


Address: 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543
Phone: 7609751239

ROSHAN RAZAVI (NPI# 1891140265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891140265
Entity Type Individual
Full Name ROSHAN RAZAVI
Other Name ROASHAN RAZAVI
Credential DO
Practice Address 1117 Devonshire Ave
Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent
Hemet
CA 92543
Mailing Address 200 Hawkins Dr.
Dept of Family Medicine
Iowa City
IA 52242-1009
Practice Telephone 7609751239
Mailing Telephone 7609751239
Enumeration Date 2016-05-04
Last Update Date 2017-09-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine R-11066 IA Allopathic & Osteopathic Physicians
Y 208D00000X General Practice B5147164 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1117 DEVONSHIRE AVE
ATTN: CAROL WOOD, GME OFFICE, HEMET VALLEY MEDICAL CENT
City HEMET
State CA
Zip Code 92543

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1013442342 Saad Farooq General Practice 1117 E Devonshire Ave, Hemet, CA 92543-3083 2017-04-24
1104272384 Apex Hospitalist Medical Group Inc General Practice 1225 E Latham Ave, Hemet, CA 92543-4423 2016-05-06
1144557539 I Henawi Md Inc General Practice 4020 W Florida Ave, Hemet, CA 92545-5279 2009-11-06

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Competitor

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City HEMET
Zip Code 92543

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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