Individual
MR. SYED JAFAR RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15962 QUANTICO RD, APPLE VALLEY, CA 92307-1302
(760) 242-7560
(760) 242-7563
Mailing address
PO BOX 2680, VICTORVILLE, CA 92393-2680
(760) 242-7560
(760) 242-7563
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A52952
CA
207RC0000X
Cardiovascular Disease Physician
P5121
TX
207RI0011X
Interventional Cardiology Physician
P5121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A59520
—
CA
Enumeration date
11/28/2006
Last updated
11/19/2015
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