Organization
S. RAZA, M.D., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED MOHSIN RAZA M.D. (PRESIDENT)
(606) 573-8320
Entity
Organization
Contact information
Practice address
110 PROFESSIONAL LN, STE 202, HARLAN, KY 40831-2590
(606) 573-8320
(606) 573-8321
Mailing address
110 PROFESSIONAL LN, STE 202, HARLAN, KY 40831-2590
(606) 573-8320
(606) 573-8321
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
36481
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64027675
—
KY
Enumeration date
03/27/2012
Last updated
03/27/2012
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