MEDICARE: YUVAL RAIZEN 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
1	207RH0003X	Hematology & Oncology Physician	M6840	TX
2	207RX0202X	Medical Oncology Physician	M6840	TX

General Provider Information

NPI Number	:	1639339153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUVAL RAIZEN MD

Provider Business Mailing Address
First Line	:	PO BOX 749495
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9495
Country	:	US
Telephone Number	:	855-963-2100
Fax Number	:	813-321-1296

Provider Business Practice Location Address
First Line	:	2130 W HOLCOMBE BLVD
Second Line	:	10TH FLOOR
City	:	HOUSTON
State	:	TX
Zip	:	77030-3304
Country	:	US
Telephone Number	:	713-800-0656
Fax Number	:	713-827-1380

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

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	02/23/2026

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Directions to “ YUVAL RAIZEN MD” Practice Location

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