S. Raza, M.D., PSC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

36481 Issued in KY

Legal business name

S. RAZA, M.D., PSC

Practice address

110 Professional LN
Ste 202
Harlan, KY 40831-2590

Phone

(606) 573-8320

Fax

(606) 573-8321

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Syed Mohsin Raza, M.D.NPI 1841220241

Title

President

Phone

(606) 573-8320

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed M Raza, M.D.

  • Psychiatry Physician
  • Harlan, KY
  • NPI 1841220241
  NPD (past) Authorized official

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1285900035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL LN",
            "address_2": "STE 202",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312590",
            "telephone_number": "606-573-8320",
            "fax_number": "606-573-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL LN",
            "address_2": "STE 202",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312590",
            "telephone_number": "606-573-8320",
            "fax_number": "606-573-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. RAZA, M.D., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "MOHSIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-573-8320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "KY",
            "license": "36481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64027675",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifton Shane Robbins, PHARM.D
• Robert R. Atkins, MD PSC
• Kimberly Lynn Rouse, FNP-C
• Morgan Rutherford
• Shannon Rutherford, NP-C
• Kamlesh Prem Sajnani, MD
• Donna Kaye Saylor, APRN
• Michelle Renee Scearse, APRN
• Felicia Natasha Scott, LCSW
• Sabrina Sergent, APRN

• Adult Mental Health Clinic/Center in Harlan, KY
• Providers in Harlan, KY by specialty
• Adult Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.