Individual
SYED A RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3737 WEST MAIN STREET, #102, SALEM, VA 24153
(540) 380-3722
(540) 380-3725
Mailing address
PO BOX 4127, VALLEY INTERNAL MEDICINE PC, ROANOKE, VA 24015
(540) 344-9779
(540) 344-7154
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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