Provider Demographics
NPI:1033423413
Name:SOLTANI ARABSHAHI, RAZIEH (MD)
Entity Type:Individual
Prefix:
First Name:RAZIEH
Middle Name:
Last Name:SOLTANI ARABSHAHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 E GREEN ST
Mailing Address - Street 2:STE 330
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2401
Mailing Address - Country:US
Mailing Address - Phone:626-449-4207
Mailing Address - Fax:626-449-0925
Practice Address - Street 1:960 E GREEN ST
Practice Address - Street 2:STE 330
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106
Practice Address - Country:US
Practice Address - Phone:626-449-4207
Practice Address - Fax:626-449-0925
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35.123120207N00000X, 207ND0101X
OH35.123120207N00000X, 207ND0101X, 207NS0135X
CAA156592207ND0101X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty