Provider Demographics
NPI:1730164716
Name:WILLSEY, MONICA RANI (MD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:RANI
Last Name:WILLSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:RANI
Other - Last Name:KASRAZADEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1370 PRAIRIE CITY RD
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-9554
Mailing Address - Country:US
Mailing Address - Phone:916-985-9320
Mailing Address - Fax:916-355-1216
Practice Address - Street 1:1370 PRAIRIE CITY RD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-9554
Practice Address - Country:US
Practice Address - Phone:916-985-9320
Practice Address - Fax:916-355-1216
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG083469207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00G834690Medicare PIN