Individual
AWAIS RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8222
(314) 977-6164
Mailing address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8222
(314) 268-5108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022025519
MO
390200000X
Student in an Organized Health Care Education/Training Program
2019018177
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2019
Last updated
07/06/2022
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