Individual
SULMAN RAZZAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355-2707
(209) 550-4750
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
C152763
CA
207RI0011X
Interventional Cardiology Physician
Primary
C152763
CA
Other
Enumeration date
01/15/2018
Last updated
09/01/2021
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