Individual
SUGHRA RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3850
(508) 334-6490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
23201
NH
2085R0202X
Diagnostic Radiology Physician
Primary
73856
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082237
—
MA
01
—
73856
TUFTS HEALTH CARE
MA
01
—
E95640BWHT
HARVARD PILGRIM
MA
01
—
J11473
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/26/2005
Last updated
09/30/2022
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