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Individual

RIAZ UDDIN RIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
315 COURTHOUSE RD, PRINCETON, WV 24740-2421
(304) 952-8637
(866) 239-0601
Mailing address
5823 WINNBROOK DR, ROANOKE, VA 24018-7894
(304) 952-8637
(304) 952-8637

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
12080
WV
2084P0800X
Psychiatry Physician
21855
NC
2084P0800X
Psychiatry Physician
Primary
41818
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0201433000
WV
01
454028
ANTHEM
VA
05
7116934
VA
Enumeration date
04/11/2006
Last updated
03/07/2023
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