Provider Demographics
NPI:1154715001
Name:RAHMANY, MOHAMMAD SHAEK (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:SHAEK
Last Name:RAHMANY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41720 WINCHESTER RD
Mailing Address - Street 2:STE H
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-9871
Mailing Address - Country:US
Mailing Address - Phone:951-699-4511
Mailing Address - Fax:951-695-5285
Practice Address - Street 1:41720 WINCHESTER RD
Practice Address - Street 2:STE H
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-9871
Practice Address - Country:US
Practice Address - Phone:951-699-4511
Practice Address - Fax:951-695-5285
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-27
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282N00000X
CAA148689207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No282N00000XHospitalsGeneral Acute Care HospitalGroup - Single Specialty