Individual
DR. RAZA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 E GRAY ST, SUITE 858, LOUISVILLE, KY 40202-1900
(502) 583-1799
(502) 583-1792
Mailing address
234 E GRAY ST STE 858, LOUISVILLE, KY 40202-1927
(502) 583-1799
(502) 583-1792
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01066017A
IN
207RN0300X
Nephrology Physician
Primary
42311
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000592485
ANTHEM BC/BS
KY
05
—
200928550A
—
IN
01
—
3691858000
PASSPORT ADVANTAGE/MEDICARE
KY
01
—
50022057
PASSPORT HEALTH PLAN/MEDICAID KY
KY
Enumeration date
04/25/2006
Last updated
12/11/2025
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