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NPI Code Detail

MEDICARE: ROSHAN RAZA MD

MEDICARE: ROSHAN RAZA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianT1818TX
2207ZP0101XAnatomic Pathology PhysicianT1818TX

General Provider Information

NPI Number : 1225423502
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSHAN RAZA MD
Provider Business Mailing Address
First Line : 1 BAYLOR PLZ
Second Line : BCM315, BCMC-286A
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1504 TAUB LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1608
Country : US
Telephone Number : 713-873-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2015
Last Update Date : 05/11/2026

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