Healthcare Provider Details

I. General information

NPI: 1366379570
Provider Name (Legal Business Name): ALEENA ALI RAZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E 149TH ST # 8-20
BRONX NY
10451-5504
US

IV. Provider business mailing address

7221 BLEDINGTON LN
MCKINNEY TX
75071-3694
US

V. Phone/Fax

Practice location:
  • Phone: 945-233-2852
  • Fax:
Mailing address:
  • Phone: 945-233-2852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: