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NPI Code Detail

MEDICARE: MOHAMAD RAZAVI MD

MEDICARE: MOHAMAD RAZAVI MD
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
1261Q00000XClinic/CenterGFE 4850CA

General Provider Information

NPI Number : 1699948893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMAD RAZAVI MD
Provider Business Mailing Address
First Line : 2500 GRANT RD
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-4302
Country : US
Telephone Number : 650-988-7632
Fax Number :
Provider Business Practice Location Address
First Line : 2500 GRANT RD
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-4302
Country : US
Telephone Number : 650-988-7632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2008
Last Update Date : 04/26/2026

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Directions to “ MOHAMAD RAZAVI MD” Practice Location

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