Individual
ALI RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
10500 ULMERTON RD STE 360, LARGO, FL 33771-3504
(901) 857-0370
Mailing address
20110 GULF BLVD APT 400, INDIAN SHORES, FL 33785-2452
(901) 857-0370
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
E5129
AR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME103177
FL
Other
Enumeration date
06/05/2007
Last updated
03/14/2022
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