Provider Demographics
NPI:1831352095
Name:NAINI, SOHRAB RAHIMI (MD)
Entity type:Individual
Prefix:
First Name:SOHRAB
Middle Name:RAHIMI
Last Name:NAINI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 W PUTNAM AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3321
Mailing Address - Country:US
Mailing Address - Phone:559-615-0059
Mailing Address - Fax:559-615-0055
Practice Address - Street 1:440 W PUTNAM AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3321
Practice Address - Country:US
Practice Address - Phone:559-615-0059
Practice Address - Fax:559-615-0055
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC168362207RG0100X
VA390200000X
TXQ8611207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3774150-01Medicaid