Provider Demographics
NPI:1508019746
Name:DELRAHIM, SOHEILA (MD)
Entity Type:Individual
Prefix:DR
First Name:SOHEILA
Middle Name:
Last Name:DELRAHIM
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 1:11510 MANCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-2459
Mailing Address - Country:US
Mailing Address - Phone:818-606-1471
Mailing Address - Fax:747-239-2160
Practice Address - Street 1:11510 MANCHESTER WAY
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-2459
Practice Address - Country:US
Practice Address - Phone:818-606-1471
Practice Address - Fax:747-239-2160
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104853174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist