Individual
SYED WAJAHAT RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 S GATEWAY DR STE 101, FREDERICKSBURG, VA 22406-1231
(540) 368-5603
Mailing address
12029 TANGO LN, WOODBRIDGE, VA 22193-6111
(210) 863-4904
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110010783
VA
Other
Enumeration date
10/14/2020
Last updated
03/13/2025
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