Healthcare Provider Details

I. General information

NPI: 1053165688
Provider Name (Legal Business Name): ABBAS RAZA SYED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 08/06/2025
Certification Date:
Deactivation Date: 11/22/2024
Reactivation Date: 08/06/2025

III. Provider practice location address

3188 BELLEVUE AVE., ML 0781 INTERNAL MEDICINE
CINCINNATI OH
45219
US

IV. Provider business mailing address

3188 BELLEVUE AVE., ML 0781 INTERNAL MEDICINE
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-4505
  • Fax: 513-584-0468
Mailing address:
  • Phone: 513-584-4505
  • Fax: 513-584-0468

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 State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: