Individual
AHSAN RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-6652
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-6652
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/07/2023
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