Provider Demographics
NPI:1962414003
Name:RAKHSHANI, ROYA (MD)
Entity type:Individual
Prefix:DR
First Name:ROYA
Middle Name:
Last Name:RAKHSHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:186 E 16TH ST
Mailing Address - Street 2:STE A
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-7740
Mailing Address - Country:US
Mailing Address - Phone:714-241-8814
Mailing Address - Fax:714-241-8861
Practice Address - Street 1:186 E 16TH ST
Practice Address - Street 2:STE A
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-7740
Practice Address - Country:US
Practice Address - Phone:714-241-8814
Practice Address - Fax:714-241-8861
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2023-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG55112207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG55112Medicare UPIN