Individual
RAZA HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
704 N PINE ST, SENECA, SC 29678-2637
(864) 886-9300
(864) 886-9399
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20122
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2360
—
SC
Enumeration date
07/24/2006
Last updated
09/03/2014
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