Individual
DR. ALY A. RAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 N BURKHARDT RD, EVANSVILLE, IN 47715-2740
(812) 474-1110
(812) 471-9282
Mailing address
PO BOX 15040, EVANSVILLE, IN 47716-0040
(812) 476-1367
(812) 471-9282
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01028049
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100319840
—
IN
05
—
330262019
—
IL
05
—
64751522
—
KY
Enumeration date
11/25/2005
Last updated
09/15/2008
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