Individual
DR. MOHAMMAD ALI RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 AMERICAN AVE STE 108, PROHEALTH CARE CANCER CENTER, WAUKESHA, WI 53188-5031
(262) 928-2570
(262) 928-5194
Mailing address
725 AMERICAN AVE STE 108, PROHEALTH CARE CANCER CENTER, WAUKESHA, WI 53188-5031
(262) 928-2570
(262) 928-5194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047521
CT
207RH0003X
Hematology & Oncology Physician
Primary
60726
WI
208M00000X
Hospitalist Physician
047521
CT
Other
Enumeration date
12/28/2007
Last updated
08/01/2013
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