Healthcare Provider Details

I. General information

NPI: 1871418921
Provider Name (Legal Business Name): RAZA HOSPITAL MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 HEALTHPLEX PKWY
NORMAN OK
73072-9749
US

IV. Provider business mailing address

PO BOX 721077
NORMAN OK
73070-4829
US

V. Phone/Fax

Practice location:
  • Phone: 405-366-8286
  • Fax: 405-579-0477
Mailing address:
  • Phone: 405-366-8286
  • Fax: 405-579-0477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD HASSAN RAZA
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 224-572-9215