MEDICARE: SMR MD PC

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
1	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1295507382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMR MD PC

Provider Business Mailing Address
First Line	:	2084 S LIVERNOIS RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-3749
Country	:	US
Telephone Number	:	248-659-2861
Fax Number	:	833-467-1525

Provider Business Practice Location Address
First Line	:	2084 S LIVERNOIS RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-3749
Country	:	US
Telephone Number	:	248-659-2861
Fax Number	:	833-467-1525

Authorized Official
Title or Position	:	OWNER
Name	:	SYED RAZA
Credential	:	MD
Telephone Number	:	248-659-2861

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	10/23/2023

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Directions to “SMR MD PC ” Practice Location

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