Individual
DR. MOHAMMED M RAZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
806 E WALNUT ST STE A, WATSEKA, IL 60970-1584
(815) 432-1078
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(815) 432-1078
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036047344
IL
208800000X
Urology Physician
Primary
01027217A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047344
—
IL
05
—
100002130
—
IN
Enumeration date
10/05/2006
Last updated
09/01/2020
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