Individual
RAZA UL HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2909 E GRAND RIVER AVE STE 102, LANSING, MI 48912-4335
(517) 364-8670
(517) 364-8671
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 351-8377
(517) 351-1738
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301061792
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104619863
—
MI
05
—
1336197706
—
MI
Enumeration date
05/05/2006
Last updated
06/26/2023
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