Individual
SIDRA RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS CITY, KS 66160-0001
(913) 588-6005
(913) 588-3877
Mailing address
3901 RAINBOW BLVD, 4070 DELP, MS 4017, KANSAS CITY, KS 66160-0001
(913) 588-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-36330
KS
207R00000X
Internal Medicine Physician
4301096419
MI
Other
Enumeration date
07/14/2010
Last updated
08/22/2013
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