Individual
DR. JAMAL RAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11921 FREEDOM DRIVE, SUITE 550, RESTON, VA 20190
(703) 463-9538
Mailing address
11921 FREEDOM DRIVE, 2 FOUNTAIN SQUARE-SUITE 550, RESTON, VA 20190
(703) 463-9538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101223868
VA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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