Individual
SYED A RAZA
Active
Individual
SYED A RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101230264
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00589352
—
VA
01
—
110223202
MCRR
—
01
—
434580
ANTHEM
—
Enumeration date
01/10/2006
Last updated
10/01/2012
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