Individual
BASIMA MUHAMMED ABDUL-RAZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803
(407) 975-0412
(407) 975-0413
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0412
(407) 975-0413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301068389
MI
208000000X
Pediatrics Physician
Primary
C53991
CA
208000000X
Pediatrics Physician
ME134057
FL
208000000X
Pediatrics Physician
U5052
TX
208M00000X
Hospitalist Physician
ME134057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000005503A
CAPE PIN NUMBER
—
01
—
023862
MIDWEST PIN #
—
01
—
0634484
BCBS/BCN PIN NUMBER
—
01
—
146412
GREAT LAKES HEALTH PLAN#
—
01
—
16502
HEALTH PLAN OF MICHIGAN#
—
01
—
16528
MCARE PIN #
—
05
—
4331048-10
—
MI
05
—
4673447-10
—
MI
01
—
7686102
AETNA PROVIDER NUMBER
—
Enumeration date
07/01/2006
Last updated
03/22/2025
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