Individual
RAZA SYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
12170 CONANT ST, HAMTRAMCK, MI 48212-4137
(313) 893-6218
Mailing address
12170 CONANT ST STE C-2, DETROIT, MI 48212-4137
(313) 893-6218
(313) 893-6254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704269528
MI
363LA2200X
Adult Health Nurse Practitioner
4704269528
MI
363LP2300X
Primary Care Nurse Practitioner
4704269528
MI
Other
Enumeration date
11/30/2017
Last updated
01/31/2019
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