Individual
DR. FAZAL I RAZIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301115856
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301504715
MI
207RP1001X
Pulmonary Disease Physician
4301504715
MI
207RP1001X
Pulmonary Disease Physician
Primary
82694-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100276589
—
WI
Enumeration date
07/05/2018
Last updated
12/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us