Individual
SYED HASSAN RAZA BUKHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST # 343, SYRACUSE, NY 13210-2306
(315) 464-5290
(315) 464-5295
Mailing address
750 E ADAMS ST # 343, SYRACUSE, NY 13210-2306
(315) 464-5290
(315) 464-5295
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
298345
NY
390200000X
Student in an Organized Health Care Education/Training Program
0116030056
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2014
Last updated
07/12/2019
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