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NPI Code Detail

MEDICARE: DR. YANIRA RAZA M.D.

MEDICARE:  DR. YANIRA  RAZA  M.D.
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
1207R00000XInternal Medicine Physician210466NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
108V221OTHERNYMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194838904
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YANIRA RAZA M.D.
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-709-2877
Fax Number :
Provider Business Practice Location Address
First Line : 4125 S TAMIAMI TRL STE 2
Second Line :
City : VENICE
State : FL
Zip : 34293-5121
Country : US
Telephone Number : 941-584-9201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 06/09/2026

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Directions to “ DR. YANIRA RAZA M.D.” Practice Location

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