Individual
SYED HASAN RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-6969
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-8336
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
4301095652
MI
207RR0500X
Rheumatology Physician
Primary
52391
TN
Other
Enumeration date
04/11/2007
Last updated
03/06/2015
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