Individual
OMRANA PASHA-RAZZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8161
(717) 531-4645
Mailing address
PO BOX 858, CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D82665
MD
207R00000X
Internal Medicine Physician
MD468997
PA
208M00000X
Hospitalist Physician
Primary
MD468997
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036935820001
—
PA
01
—
623048Y9Q
MEDICARE
MD
Enumeration date
12/08/2015
Last updated
11/17/2021
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