MEDICARE: CATHY CHUANG SOHRABI DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	213E00000X	Podiatrist	E5497	CA

General Provider Information

NPI Number	:	1649628116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY CHUANG SOHRABI DPM

Provider Business Mailing Address
First Line	:	6235 N FRESNO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-5269
Country	:	US
Telephone Number	:	559-229-3668
Fax Number	:

Provider Business Practice Location Address
First Line	:	6235 N FRESNO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-5269
Country	:	US
Telephone Number	:	559-229-3668
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2016
Last Update Date	:	06/01/2026

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