| Syed Raza Md Psc | |
|
110 Professional Ln Harlan KY 40831-2590 | |
| (606) 573-8320 | |
| Not Available |
| Full Name | Syed Raza Md Psc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 110 Professional Ln, Harlan, Kentucky |
| Authorized Official Name and Position | Syed Raza (PRESIDENT) |
| Authorized Official Contact | 6065732398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Syed Raza Md Psc Po Box 360 Grays Knob KY 40829-0360 Ph: (606) 573-2398 | Syed Raza Md Psc 110 Professional Ln Harlan KY 40831-2590 Ph: (606) 573-8320 |
| NPI Number | 1871732867 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 02/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871732867 | NPI | - | NPPES |
| 64027675 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 36481 (Kentucky) | Primary |
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