Individual provider Active NPI

Zia Razzaq, DSC,CMT,LLCC,NCTMB

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1104010453
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0019 005511 Issued in VA
Practice address
3322 Virginia Beach Blvd Ste 120
Virginia Beach, VA 23452-5608
Phone
(757) 615-2124
NPI assigned
Aug 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0019 005511 VA Primary

Addresses

Primary practice location

3322 Virginia Beach Blvd Ste 120
Virginia Beach, VA 23452-5608

Mailing address

4128 Cheswick LN
Virginia Beach, VA 23455-6559
Phone (757) 615-2124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0019 005511VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphedema Physiotherapy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1104010453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 CHESWICK LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556559",
            "telephone_number": "757-615-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 VIRGINIA BEACH BLVD STE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525608",
            "telephone_number": "757-615-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZAQ",
        "first_name": "ZIA",
        "name_prefix": "Dr.",
        "credential": "DSC,CMT,LLCC,NCTMB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0019 005511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.