MEDICARE: IMRAN RIAZ PSYD.

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	103TC0700X	Clinical Psychologist	PSY1000563	DC

General Provider Information

NPI Number	:	1649308388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IMRAN RIAZ PSYD.

Provider Business Mailing Address
First Line	:	2033 K ST NW
Second Line	:	SUITE 330
City	:	WASHINGTON
State	:	DC
Zip	:	20006-1002
Country	:	US
Telephone Number	:	202-567-1065
Fax Number	:

Provider Business Practice Location Address
First Line	:	2033 K ST NW
Second Line	:	SUITE 330
City	:	WASHINGTON
State	:	DC
Zip	:	20006-1002
Country	:	US
Telephone Number	:	202-567-1065
Fax Number	:

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

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	11/08/2011

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Directions to “ IMRAN RIAZ PSYD.” Practice Location

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