Individual
MUHAMMAD REHAN RAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
495 JACK MARTIN BLVD STE 2, BRICK, NJ 08724-7778
(732) 458-8299
Mailing address
394 DONGAN HILLS AVE, STATEN ISLAND, NY 10305-2229
(347) 857-5861
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA10351200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674028
—
NJ
Enumeration date
08/22/2010
Last updated
09/11/2018
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