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Individual
DR. MOHAMMAD RAZA ALI
Active
Individual
DR. MOHAMMAD RAZA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD458554
PA
208M00000X
Hospitalist Physician
Primary
MD458554
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031707870002
—
PA
01
—
547850PZP
MEDICARE PTAN
PA
Enumeration date
05/13/2013
Last updated
06/07/2021
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