Healthcare Provider Details

I. General information

NPI: 1265420533
Provider Name (Legal Business Name): SYED S RAZMI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12000 MCCRACKEN RD 201
GARFIELD HTS OH
44125
US

IV. Provider business mailing address

1450 SOM CENTER RD 25
MAYFIELD HTS OH
44124
US

V. Phone/Fax

Practice location:
  • Phone: 216-662-5600
  • Fax: 216-663-1474
Mailing address:
  • Phone: 440-446-1423
  • Fax: 440-446-1498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number35084468
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35084468
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: