Individual
DR. IMRAN RAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3320 RINCONADA BLVD, STE 2, LAS CRUCES, NM 88011-7198
(575) 532-1111
(575) 532-1122
Mailing address
3320 RINCONADA BLVD, STE 2, LAS CRUCES, NM 88011-7198
(575) 532-1111
(575) 532-1122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2010-0103
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42488371
—
NM
Enumeration date
02/21/2008
Last updated
10/21/2016
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