MEDICARE: DR. NAEEM 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	174400000X	Specialist	MD417881	PA
2	207R00000X	Internal Medicine Physician	MD417881	PA
3	207RG0100X	Gastroenterology Physician	01070885A	IN

Other Identifiers

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

General Provider Information

NPI Number	:	1447214994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAEEM RAZA MD

Provider Business Mailing Address
First Line	:	1100 REID PKWY
Second Line	:	MEDICAL STAFF SERVICES
City	:	RICHMOND
State	:	IN
Zip	:	47374-1157
Country	:	US
Telephone Number	:	765-935-8923
Fax Number	:	765-935-8407

Provider Business Practice Location Address
First Line	:	1050 REID PKWY STE 110
Second Line	:	REID HEALTH GASTROENTEROLOGY AND RHEUMATOLOGY
City	:	RICHMOND
State	:	IN
Zip	:	47374-1156
Country	:	US
Telephone Number	:	765-935-8923
Fax Number	:	765-935-8407

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	05/18/2021

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Directions to “ DR. NAEEM RAZA MD” Practice Location

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