Individual
DR. SHAZIA RAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4020 VENOY RD STE 700, WAYNE, MI 48184-1891
(734) 454-8001
Mailing address
4020 VENOY RD STE 700, WAYNE, MI 48184-1891
(734) 454-8001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301091041
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033514
MCLAREN HEALTH ADVANTAGE
MI
01
—
1103313911
BLUE CROSS BLUE SHIELD
MI
01
—
200000016236
PHP
MI
05
—
64071087
—
KY
01
—
P00473883
RAILROAD MEDICARE
MI
Enumeration date
12/28/2005
Last updated
06/23/2020
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