| Tanzila Razzaki Pc | |
|
500 Superior Ave Ste 100 Newport Beach CA 92663-3660 | |
| (949) 764-8379 | |
| (714) 541-3200 |
| Full Name | Tanzila Razzaki Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Superior Ave Ste 100, Newport Beach, California |
| Authorized Official Name and Position | Tanzila Razzaki (PRESIDENT) |
| Authorized Official Contact | 9497648379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanzila Razzaki Pc 500 Superior Ave Ste 100 Newport Beach CA 92663-3660 Ph: (949) 764-8379 | Tanzila Razzaki Pc 500 Superior Ave Ste 100 Newport Beach CA 92663-3660 Ph: (949) 764-8379 |
| NPI Number | 1457127540 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 07/17/2024 |
| Medicare PECOS PAC ID | 5698127900 |
|---|---|
| Medicare Enrollment ID | O20240122003860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457127540 | NPI | - | NPPES |
| 5972979 | Other | CA | ART OF INCORP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Tanzila Shakir Razzaki |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619396769 PECOS PAC ID: 5597150193 Enrollment ID: I20230106002335 |
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