Individual
RAZA ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9336 BLAKENEY CENTRE DR STE 100B, CHARLOTTE, NC 28277-6694
(704) 862-4700
(704) 862-4749
Mailing address
9336 BLAKENEY CENTRE DR STE 100B, CHARLOTTE, NC 28277-6694
(704) 862-4700
(704) 862-4749
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
098280
OH
207L00000X
Anesthesiology Physician
2012-01447
NC
207L00000X
Anesthesiology Physician
34704
SC
207L00000X
Anesthesiology Physician
MD.203861
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
098280
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2012-01447
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
34704
SC
208VP0014X
Interventional Pain Medicine Physician
098280
OH
208VP0014X
Interventional Pain Medicine Physician
2012-01447
NC
208VP0014X
Interventional Pain Medicine Physician
34704
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407067929
—
OH
05
—
409952
—
LA
05
—
5921949
—
NC
Enumeration date
05/25/2007
Last updated
06/10/2025
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