Most Relevant Information
Provider Data
| NPI Number: | 1003339722 |
| Provider Name: | SOHEILA BENRAZAVI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | A73058 |
Most Important Dates
| Enumeration Date: | 07/25/2017 |
| Last Updated: | 06/16/2018 |
Provider Practice Location
4730 HOEN AVE
SANTA ROSA
CA
954059540
Practice Location Phone/Fax
| Phone: | 7075281616 |
| Fax: |
Provider Mailing Location
4730 HOEN AVE
SANTA ROSA
CA
954057868
Provider Mailing Phone/Fax
| Phone: | 7075281616 |
| Fax: |
Suggested EMR
Internist EMR