Individual
SYED MOHAMMED HUSSAIN RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2084 S LIVERNOIS RD, ROCHESTER HILLS, MI 48307-3749
(248) 659-2861
(833) 467-1525
Mailing address
2084 S LIVERNOIS RD, ROCHESTER HILLS, MI 48307-3749
(248) 659-2861
(833) 467-1525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301088297
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5315040199
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301088297
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F336360
BCBSM
MI
01
—
1346398971
GRP NPI
MI
01
—
20-5485614
TAX ID
MI
01
—
SR040199
LICENSE
MI
Enumeration date
04/14/2008
Last updated
10/23/2023
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