Organization
SUBAN M. RAZACK, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBAN MOHAMED RAZACK M.D. (PRESIDENT)
(330) 724-1215
Entity
Organization
Contact information
Practice address
1134 BROWN ST STE 1B, AKRON, OH 44301-1964
(330) 724-1215
Mailing address
1134 BROWN ST STE 1B, AKRON, OH 44301-1964
(330) 724-1215
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404548
—
OH
01
—
DB8650
RAILROAD MEDICARE
OH
Enumeration date
10/05/2006
Last updated
08/22/2020
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