Aly A. Razek, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

01028049 Issued in IN

Practice address

700 N Burkhardt Rd
Evansville, IN 47715-2740

Phone

(812) 474-1110

Fax

(812) 471-9282

NPI assigned

Nov 25, 2005

Last updated

Sep 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Harrisburg Cancer Center Inc

  • Radiation Oncology Physician
  • Harrisburg, IL
  • NPI 1972553550
  Authorized official Same address or phone
• Middletown Cancer Center

  • Radiation Oncology Physician
  • Middletown, OH
  • NPI 1821048406
  Authorized official Same address or phone
• Therapy Associates Inc

  • Radiation Oncology Physician
  • Evansville, IN
  • NPI 1205885316
  NPD (past)
• Tri-County Cancer Care Center, Inc

  • Radiation Oncology Physician
  • Jasper, IN
  • NPI 1033169727
  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1124001961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15040",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477160040",
            "telephone_number": "812-476-1367",
            "fax_number": "812-471-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N BURKHARDT RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152740",
            "telephone_number": "812-474-1110",
            "fax_number": "812-471-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZEK",
        "first_name": "ALY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01028049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64751522",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330262019",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100319840",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Rawlings, PTA
• Barry W Ray, DDS
• Collin Luke Ray, DPM
• Elizabeth Nicole Ray, MS, CCC-SLP
• Meghann Reynolds Ray, PA-C
• Melissa Rea, CNS
• Matt Carson Rebeck, ED.D.
• Shauna Reburn, FNP-C
• Anne Kathryn Reckelhoff, OT
• Debbie Sur Record, PT

• Radiation Oncology Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Radiation Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.