Provider Demographics
NPI:1023060449
Name:AFGHAN, RAHIMA (MD)
Entity type:Individual
Prefix:MS
First Name:RAHIMA
Middle Name:
Last Name:AFGHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 MAGNOLIA AVE
Mailing Address - Street 2:STE 1F
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-3121
Mailing Address - Country:US
Mailing Address - Phone:951-737-1917
Mailing Address - Fax:951-735-4105
Practice Address - Street 1:41670 IVY ST
Practice Address - Street 2:SUITE C & D
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9432
Practice Address - Country:US
Practice Address - Phone:951-696-5220
Practice Address - Fax:951-696-5222
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA672572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H68520Medicare ID - Type Unspecified
00A672572Medicare ID - Type Unspecified
H68520Medicare UPIN