Healthcare Provider Details

I. General information

NPI: 1043914062
Provider Name (Legal Business Name): FATIMA-TUN-NISSA RAZA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E NORTH AVE STE 116
PITTSBURGH PA
15212-4746
US

IV. Provider business mailing address

420 E NORTH AVE STE 116
PITTSBURGH PA
15212-4746
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-6300
  • Fax:
Mailing address:
  • Phone: 412-359-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD496688
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207WX0109X
TaxonomyNeuro-ophthalmology Physician
License NumberMD496688
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: