Individual
KHALID RAZZAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1424 STADIUM DRIVE, BLUEFIELD, WV 24701
(304) 327-5710
(304) 327-5781
Mailing address
1424 STADIUM DRIVE, BLUEFIELD, WV 24701
(304) 327-5710
(304) 327-5781
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101052490
VA
2084N0400X
Neurology Physician
Primary
18195
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721810
BLUE CROSS BLUE SHIELD
—
05
—
007101562
—
VA
05
—
0090304000
—
WV
01
—
130019067
RR MEDICARE
—
Enumeration date
08/30/2006
Last updated
07/28/2010
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