Provider Demographics
NPI:1902072531
Name:SAHAGIAN, RAFFI TORKOM (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFFI
Middle Name:TORKOM
Last Name:SAHAGIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAFI
Other - Middle Name:T
Other - Last Name:ISHAQ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:242 CAJON ST
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5202
Mailing Address - Country:US
Mailing Address - Phone:909-335-4118
Mailing Address - Fax:
Practice Address - Street 1:2 W FERN AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5916
Practice Address - Country:US
Practice Address - Phone:909-793-3311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-04
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA117071207R00000X, 208M00000X
MI4301093071207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine