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NPI Code Detail

MEDICARE: SAQIB RAZZAQUE M.D

MEDICARE: SAQIB RAZZAQUE 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
1207RH0003XHematology & Oncology PhysicianA127157CA

General Provider Information

NPI Number : 1437398591
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAQIB RAZZAQUE M.D
Provider Business Mailing Address
First Line : PO BOX 23058
Second Line :
City : SAN DIEGO
State : CA
Zip : 92193-3058
Country : US
Telephone Number : 612-626-5031
Fax Number :
Provider Business Practice Location Address
First Line : 1271 ROSS AVE
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-4304
Country : US
Telephone Number : 760-355-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2009
Last Update Date : 09/23/2020

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