Individual
RAZA MUSHTAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PKWY STE 310, LAKEWAY, TX 78738-1794
(512) 654-0300
Mailing address
PO BOX 44037, PHOENIX, AZ 85064-4037
(602) 954-6228
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
56994
AZ
2085N0700X
Neuroradiology Physician
ME174062
FL
2085N0700X
Neuroradiology Physician
V6653
TX
2085R0202X
Diagnostic Radiology Physician
56994
AZ
2085R0202X
Diagnostic Radiology Physician
ME174062
FL
2085R0202X
Diagnostic Radiology Physician
V6653
TX
Other
Enumeration date
04/01/2015
Last updated
10/18/2025
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