Syed Khurram Raza MD

NPI 1457542805 - Psychiatry & Neurology - 2084P0805X

NPI Details
NPI 1457542805
Gender Male
Enumeration Date 08/09/2007
Last Updated 10/19/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
530 N MAIN ST
PROVIDENCE RI, 02904-5762, US
Phone (401) 274-2500
Fax
Business Location
528 N MAIN ST
PROVIDENCE RI, 02904-5757, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0805X
License State Rhode Island
License Number MD10515
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According to our database, Syed Khurram Raza MD NPI is 1457542805, taxonomy code is 2084P0805X and license number is MD10515, license state is located at Rhode Island. Syed Khurram Raza MD physically located at 530 N Main St, Providence RI, 02904-5762. NPI Number Syed Khurram Raza MD has the Individual type.

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1457542805 NPI number is provided on an as is basis without warranty of any kind. 1457542805 is maintained by the National Plan & Provider Enumeration System. The contents of Syed Khurram Raza MD are for informational purposes only.