MEDICARE: ZAHRA S. RAZA MD

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	207Q00000X	Family Medicine Physician	0101265032	VA

General Provider Information

NPI Number	:	1407140825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAHRA S. RAZA MD

Provider Business Mailing Address
First Line	:	PO BOX 91734
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23291-1734
Country	:	US
Telephone Number	:	804-358-6100
Fax Number	:	804-342-7619

Provider Business Practice Location Address
First Line	:	3470 MAYLAND CT
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1468
Country	:	US
Telephone Number	:	804-527-4540
Fax Number	:	804-527-4487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2011
Last Update Date	:	11/21/2018

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