Healthcare Provider Details

I. General information

NPI: 1033180203
Provider Name (Legal Business Name): RAHUL SOMANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5424 HEATHERLAND DR
SAN RAMON CA
94582-5054
US

IV. Provider business mailing address

5424 HEATHERLAND DR
SAN RAMON CA
94582-5054
US

V. Phone/Fax

Practice location:
  • Phone: 925-786-1402
  • Fax: 925-968-1323
Mailing address:
  • Phone: 925-786-1402
  • Fax: 925-968-1323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG87607
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberP9260
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberP9260
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberG87607
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036108714
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number036108714
License Number StateIL
# 7
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License NumberG87607
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License NumberP9260
License Number StateTX
# 9
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number036108714
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: