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General NPI Number Information
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NPI Number | 1538473640
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Entity Type | Organization
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Legal Business Name | RNY MEDICARE LTD
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 725 W MONTROSE AVE
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City | CHICAGO
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State | IL
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Zip | 60613-1515
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Country | US
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Telephone | 773-929-1700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26975
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City | JACKSONVILLE
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State | FL
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Zip | 32226-6975
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Country | US
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Telephone | 904-503-1132
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Fax | 888-886-4464
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Authorized Official
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Title or Position | OWNER
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Name | AHMED RAZIUDDIN
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Credential | M.D.
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Telephone | 773-218-5355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | IL
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