MEDICARE: DR. MUHAMMAD MOBEEN RAZA DDS

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
1	1223G0001X	General Practice Dentistry	0401417828	VA
2	122300000X	Dentist	DEN2000100	DC

General Provider Information

NPI Number	:	1275101214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUHAMMAD MOBEEN RAZA DDS

Provider Business Mailing Address
First Line	:	1900 S EADS ST APT 1109
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-3048
Country	:	US
Telephone Number	:	703-296-4868
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 S EADS ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-3027
Country	:	US
Telephone Number	:	703-296-4868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2021
Last Update Date	:	06/05/2026

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