Individual
RAZA AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WALNUT ST, 17TH FLOOR, PHILADELPHIA, PA 19107-5109
(215) 829-3523
Mailing address
800 WALNUT ST, 17TH FLOOR, PHILADELPHIA, PA 19107-5109
(215) 829-3523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD450593
PA
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
MD450593
PA
Other
Enumeration date
01/05/2012
Last updated
12/17/2013
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