MEDICARE: MR. RAZI D HEKMAT 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	A75886	CA

General Provider Information

NPI Number	:	1871501205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAZI D HEKMAT M.D.

Provider Business Mailing Address
First Line	:	610 EUCLID AVE STE 202
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2952
Country	:	US
Telephone Number	:	619-472-2665
Fax Number	:	619-479-9468

Provider Business Practice Location Address
First Line	:	610 EUCLID AVE STE 202
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2952
Country	:	US
Telephone Number	:	619-472-2665
Fax Number	:	619-479-9468

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/09/2007

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