Individual
MUHAMMAD RAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7048 BROADWAY, JACKSON HEIGHTS, NY 11372-6134
(786) 519-0012
Mailing address
7048 BROADWAY, JACKSON HEIGHTS, NY 11372-6134
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
058637
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2015
Last updated
10/03/2020
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