Organization
S. TALIB RAZA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYED M. TALIB RAZA M.D. (PRESIDENT)
(248) 489-1759
Entity
Organization
Contact information
Practice address
18025 FORT ST, RIVERVIEW, MI 48193-7432
(734) 283-5555
(734) 283-1600
Mailing address
29495 PARKSIDE ST, FARMINGTON HILLS, MI 48331-2668
(248) 489-1759
(734) 283-5555
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301088026
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301088026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H27304
BLUE CROSS
MI
05
—
1235106915
—
MI
Enumeration date
03/05/2007
Last updated
02/07/2013
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