Individual
QUASIR RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6136 PETERS CREEK RD, ROANOKE, VA 24019-4063
(540) 283-3660
(540) 283-3677
Mailing address
6136 PETERS CREEK RD, ROANOKE, VA 24019-4063
(540) 283-3660
(540) 283-3677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101229844
VA
207R00000X
Internal Medicine Physician
20696
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001209006
—
WV
05
—
1497846943
—
VA
Enumeration date
09/28/2006
Last updated
04/09/2010
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