Individual
DR. MOHAMMAD SYED ALI HAZRATJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 HOSPITAL DR, STE 401, HOLYOKE, MA 01040-6606
(413) 534-5135
(413) 534-3328
Mailing address
15 HOSPITAL DR, STE 401, HOLYOKE, MA 01040-6606
(413) 534-5135
(413) 534-3328
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
022745
CT
2084N0400X
Neurology Physician
Primary
47399
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151394
—
MA
05
—
1227453
—
CT
01
—
130000577
MEDICARE OF CT
CT
01
—
M17327
BLUESHIELD OF MA
MA
01
—
P00114940
RAILROAD MEDICARE
MA
Enumeration date
10/10/2005
Last updated
12/07/2010
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