Individual
ASIM RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 SALEM ROAD, STE 1, CONWAY, AR 72034
(501) 336-8300
(501) 329-3572
Mailing address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570
(479) 890-5364
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E1309
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132955001
—
AR
Enumeration date
09/02/2006
Last updated
08/04/2016
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