Individual
DR. MILES S RAIZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1332 TEASLEY LN, DENTON, TX 76205-7946
(940) 220-8899
Mailing address
2401 S 31ST ST, MS-11-AG062, TEMPLE, TX 76508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q6462
TX
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Q6462
TX
Other
Enumeration date
05/12/2014
Last updated
08/16/2021
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