Provider Demographics
NPI:1841554847
Name:RAHIMI, AFSHIN (DMD)
Entity type:Individual
Prefix:
First Name:AFSHIN
Middle Name:
Last Name:RAHIMI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3641 SACRAMENTO ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1722
Mailing Address - Country:US
Mailing Address - Phone:415-563-4250
Mailing Address - Fax:415-563-4272
Practice Address - Street 1:3641 SACRAMENTO ST
Practice Address - Street 2:SUITE C
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1722
Practice Address - Country:US
Practice Address - Phone:415-563-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV62801223G0001X
CA612081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice