Sofia B Elahi, M.D.

Individual provider Active NPI Family Medicine Physician · Corning, CA

NPI 1518291467 · NPPES record last updated Feb 28, 2011

Key facts

NPI
1518291467
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
A99541 (CA)
Practice address
155 Solano St
Corning, CA 96021-3511
Phone
(530) 824-4663
Fax
(530) 824-5204
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99541CAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A99541 CA Yes

Addresses

Primary practice location

155 Solano St
Corning, CA 96021-3511

Mailing address

155 Solano St
Corning, CA 96021-3511
Phone (530) 824-4663

Other providers in Corning, CA

All providers in Corning, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.