Individual
DR. MOHAMMAD RAZA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7300
(484) 884-9677
(484) 884-9297
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-0617
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD458554
PA
208M00000X
Hospitalist Physician
Primary
MD458554
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031707870002
—
PA
01
—
547850PZP
MEDICARE PTAN
PA
Enumeration date
05/13/2013
Last updated
06/07/2021
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