MEDICARE: MR. RASHID SULTAN ELAHI M.D.

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	207R00000X	Internal Medicine Physician	A54268	CA
2	207R00000X	Internal Medicine Physician	25375	AZ
3	207RN0300X	Nephrology Physician	A54268	CA
4	207RN0300X	Nephrology Physician	25375	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12169102	OTHER	CA	HEALTHNET

General Provider Information

NPI Number	:	1790753408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RASHID SULTAN ELAHI M.D.

Provider Business Mailing Address
First Line	:	200 JOSE FIGUERES AVE
Second Line	:	SUITE 270
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1500
Country	:	US
Telephone Number	:	408-937-9009
Fax Number	:	408-937-9010

Provider Business Practice Location Address
First Line	:	200 JOSE FIGUERES AVE
Second Line	:	SUITE 270
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1500
Country	:	US
Telephone Number	:	408-937-9009
Fax Number	:	408-937-9010

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	05/18/2009

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Directions to “ MR. RASHID SULTAN ELAHI M.D.” Practice Location

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