Provider Demographics
NPI:1811731649
Name:RAHMANZAI, SOFIA (DO)
Entity type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:
Last Name:RAHMANZAI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 PROMENADE PL APT 293
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-1478
Mailing Address - Country:US
Mailing Address - Phone:402-598-2556
Mailing Address - Fax:
Practice Address - Street 1:620 SHADOW LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4194
Practice Address - Country:US
Practice Address - Phone:702-388-8436
Practice Address - Fax:702-388-7819
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVSL2227207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine