MEDICARE: MOHAMMAD RAZAQ M.D.

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	207P00000X	Emergency Medicine Physician	239748-1	NY
2	207RH0003X	Hematology & Oncology Physician	239748	NY
3	207RH0003X	Hematology & Oncology Physician	37718	IA
4	207RX0202X	Medical Oncology Physician	04-34793	KS
5	207R00000X	Internal Medicine Physician	04-34793	KS
6	207RH0003X	Hematology & Oncology Physician	28999	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710900337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD RAZAQ M.D.

Provider Business Mailing Address
First Line	:	800 NE 10TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5418
Country	:	US
Telephone Number	:	405-271-4022
Fax Number	:	405-271-4221

Provider Business Practice Location Address
First Line	:	800 NE 10TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5418
Country	:	US
Telephone Number	:	405-271-4022
Fax Number	:	405-271-4221

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	08/16/2012

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Directions to “ MOHAMMAD RAZAQ M.D.” Practice Location

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