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Individual
SYED RAZA SHAH
Active
Individual
SYED RAZA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD478957
PA
207R00000X
Internal Medicine Physician
TRN25632
FL
390200000X
Student in an Organized Health Care Education/Training Program
53520
KY
Other
Enumeration date
07/06/2017
Last updated
05/31/2023
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