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NPI Code Detail

MEDICARE: RAZIA IQBAL

MEDICARE:   RAZIA  IQBAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1093844508
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAZIA IQBAL
Provider Business Mailing Address
First Line : 234 MORNING STAR DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95131-3748
Country : US
Telephone Number : 510-708-2481
Fax Number :
Provider Business Practice Location Address
First Line : 519 17TH ST STE 210
Second Line :
City : OAKLAND
State : CA
Zip : 94612-1527
Country : US
Telephone Number : 510-628-9065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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Directions to “ RAZIA IQBAL ” Practice Location

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