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General NPI Number Information
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NPI Number | 1407067929
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Entity Type | Individual
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Provider Name | RAZA ALI KHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 9336 BLAKENEY CENTRE DR STE 100B
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City | CHARLOTTE
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State | NC
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Zip | 28277-6694
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Country | US
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Telephone | 704-862-4700
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Fax | 704-862-4749
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Provider Business Mailing Address
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Address Line | 9336 BLAKENEY CENTRE DR STE 100B
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City | CHARLOTTE
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State | NC
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Zip | 28277-6694
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Country | US
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Telephone | 704-862-4700
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Fax | 704-862-4749
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 098280
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD.203861
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2012-01447
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34704
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 098280
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 34704
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 098280
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 2012-01447
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 34704
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License Number State | SC
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Taxonomy #10
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2012-01447
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License Number State | NC
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