| S. Raza, M.d., Psc | |
|
110 Professional Ln Ste 202 Harlan KY 40831-2590 | |
| (606) 573-8320 | |
| (606) 573-8321 |
| Full Name | S. Raza, M.d., Psc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 110 Professional Ln, Harlan, Kentucky |
| Authorized Official Name and Position | Syed Mohsin Raza (PRESIDENT) |
| Authorized Official Contact | 6065738320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Raza, M.d., Psc 110 Professional Ln Ste 202 Harlan KY 40831-2590 Ph: (606) 573-8320 | S. Raza, M.d., Psc 110 Professional Ln Ste 202 Harlan KY 40831-2590 Ph: (606) 573-8320 |
| NPI Number | 1285900035 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285900035 | NPI | - | NPPES |
| 64027675 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 36481 (Kentucky) | Primary |
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