Provider Demographics
NPI:1427183003
Name:RAHIMI, SHOLEH --- (MD)
Entity Type:Individual
Prefix:DR
First Name:SHOLEH
Middle Name:---
Last Name:RAHIMI
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 1:1625 CREEKSIDE DR 100
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3819
Mailing Address - Country:US
Mailing Address - Phone:775-830-1797
Mailing Address - Fax:916-983-2096
Practice Address - Street 1:1625 CREEKSIDE DR 100
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3819
Practice Address - Country:US
Practice Address - Phone:775-830-1797
Practice Address - Fax:916-983-2096
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98424174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist