Suban Mohamed Razack, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

035042671 Issued in OH

Practice address

1 Akron General Ave
5TH Floor, Acc
Akron, OH 44307-2432

Phone

(330) 344-6015

Fax

(330) 344-6820

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

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

Interoperability endpoints

• Direct secure messaging: srazack368968@direct.ccf.org

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.

• Suban M. Razack, M.D., Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Akron, OH
  • NPI 1821184995
  NPD (past) Authorized official
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Partners Physician Group

  • Surgery Physician
  • Akron, OH
  • NPI 1336329259
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1306826730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AKRON GENERAL AVE",
            "address_2": "5TH FLOOR, ACC",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072432",
            "telephone_number": "330-344-6015",
            "fax_number": "330-344-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AKRON GENERAL AVE",
            "address_2": "5TH FLOOR, ACC",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072432",
            "telephone_number": "330-344-6015",
            "fax_number": "330-344-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZACK",
        "first_name": "SUBAN",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "035042671",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "035042671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AKRON GENERAL (IMCA) MEDICAID GROUP #",
            "identifier": "0454744",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AKRON GENERAL MEDICAL CENTER TYPE 2 NPI #",
            "identifier": "1821035940",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0404548",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AKRON GENERAL (IMCA) MEDICARE GROUP #",
            "identifier": "3600271",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Ray, MD
• Taliah M Ray
• Shania Rayford
• Joel Daniel Rayl, M.D.
• Andrew Carlton Raynor, M.D.
• Roshan Abdul Razik, MD, MPH, FRCPC
• Rcsa LLC
• Courtney Re
• Mark Edward Rea, M.D.
• Reaching Forth Health Services LLC

• Geriatric Medicine (Internal Medicine) Physician in Akron, OH
• Providers in Akron, OH by specialty
• Geriatric Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.