Provider Demographics
NPI:1568615482
Name:AZIMI, RANA MELAHAT (MD)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:MELAHAT
Last Name:AZIMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RANA
Other - Middle Name:
Other - Last Name:ALANIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1720 E CESAR E CHAVEZ AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-2414
Mailing Address - Country:US
Mailing Address - Phone:323-260-5789
Mailing Address - Fax:323-881-8641
Practice Address - Street 1:1720 E CESAR E CHAVEZ AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2414
Practice Address - Country:US
Practice Address - Phone:323-260-5789
Practice Address - Fax:323-881-8641
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102789207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine