Individual
SYED T RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 STATE STREET, SUITE 302, NEW ALBANY, IN 47150-6806
(812) 542-1880
(812) 542-1891
Mailing address
PO BOX 950103, LOUISVILLE, KY 40295-0103
(812) 542-1880
(812) 542-1891
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01055970A
IN
207RC0000X
Cardiovascular Disease Physician
32779
KY
207RI0011X
Interventional Cardiology Physician
Primary
01055970A
IN
207RI0011X
Interventional Cardiology Physician
32779
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000482692
ANTHEM BCBS
KY
01
—
012970
SIHO
—
01
—
1187455
CHA
KY
05
—
200366430
—
IN
01
—
2751206000
PASSPORT ADVANTAGE
KY
01
—
299856
FEDERAL BLACK LUNG PROGRA
—
01
—
50011228
PASSPORT HEALTH PLAN
KY
05
—
64045966
—
KY
01
—
7693352
AETNA
KY
01
—
7959861
CIGNA
KY
01
—
P00342895
RAILROAD MEDICARE
KY
Enumeration date
07/21/2006
Last updated
12/08/2020
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