| Raza Medical Office Pllc | |
|
711 Park Ave, Building 1, Suite 202 Medina NY 14103-1740 | |
| (585) 798-4108 | |
| (585) 798-4894 |
| Full Name | Raza Medical Office Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 711 Park Ave, Building 1, Suite 202, Medina, New York |
| Authorized Official Name and Position | Syed Hasan Raza (PHYSICIAN) |
| Authorized Official Contact | 5857984108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raza Medical Office Pllc 711 Park Ave, Building 1, Suite 202 Medina NY 14103-1740 Ph: (585) 798-4108 | Raza Medical Office Pllc 711 Park Ave, Building 1, Suite 202 Medina NY 14103-1740 Ph: (585) 798-4108 |
| NPI Number | 1396904728 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 3779738604 |
|---|---|
| Medicare Enrollment ID | O20130226000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396904728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed H Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497715296 PECOS PAC ID: 7214182146 Enrollment ID: I20130226000675 |
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