Individual
DR. RAZA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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