Healthcare Provider Details

I. General information

NPI: 1023927019
Provider Name (Legal Business Name): RAAZ INNOMATRIX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1649 BAY RIDGE PKWY
BROOKLYN NY
11204-5134
US

IV. Provider business mailing address

1649 BAY RIDGE PKWY
BROOKLYN NY
11204-5134
US

V. Phone/Fax

Practice location:
  • Phone: 409-599-7322
  • Fax:
Mailing address:
  • Phone: 409-599-7322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. CHAUDHRY USAMA IFTIKHAR
Title or Position: OWNER
Credential:
Phone: 409-599-7322