Individual
DR. SUBAN MOHAMED RAZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 AKRON GENERAL AVE, 5TH FLOOR, ACC, AKRON, OH 44307-2432
(330) 344-6015
(330) 344-6820
Mailing address
1 AKRON GENERAL AVE, 5TH FLOOR, ACC, AKRON, OH 44307-2432
(330) 344-6015
(330) 344-6820
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
035042671
OH
208M00000X
Hospitalist Physician
035042671
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404548
—
OH
01
—
0454744
AKRON GENERAL (IMCA) MEDICAID GROUP #
OH
01
—
1821035940
AKRON GENERAL MEDICAL CENTER TYPE 2 NPI #
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
3600271
AKRON GENERAL (IMCA) MEDICARE GROUP #
OH
Enumeration date
01/20/2006
Last updated
01/08/2016
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