Individual
SANIA S RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53157
MN
207RH0003X
Hematology & Oncology Physician
01075153A
IN
207RH0003X
Hematology & Oncology Physician
Primary
036130031
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01034504
MN MEC RAILROAD
MN
Enumeration date
07/10/2009
Last updated
08/20/2024
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