Organization
SYED J RAZA MD INC
Active
Organization
SYED J RAZA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED JAFAR RAZA MD (PRESIDENT)
(760) 242-7560
Entity
Organization
Contact information
Practice address
15962 QUANTICO RD, APPLE VALLEY, CA 92307-1302
(760) 242-7560
(760) 242-7563
Mailing address
PO BOX 2680, VICTORVILLE, CA 92393-2680
(760) 242-7560
(760) 242-7563
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A52952
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A529520
—
CA
01
—
ZZZ29993Z
MEDICAR E PROVIDER NUMBER
CA
Enumeration date
10/19/2007
Last updated
02/06/2008
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