Active NPI
Rafael G Razuri, MD
- General Practice Physician
- Savannah, GA
National Provider Identifier
1598822595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 014315
- Practice address
- 8404 Abercorn St
Savannah, GA 31406-3425 - Phone
- (912) 927-1600
- Fax
- (912) 927-3023
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 014315 | GA | Primary |
Addresses
Primary practice location
8404 Abercorn St
Savannah, GA 31406-3425
Mailing address
459 Mall Blvd
# 48
Savannah, GA 31406-4829
Phone (912) 927-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00012867A | Medicaid | GA |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014315 | GA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598822595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 MALL BLVD",
"address_2": "# 48",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064829",
"telephone_number": "912-927-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8404 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063425",
"telephone_number": "912-927-1600",
"fax_number": "912-927-3023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZURI",
"first_name": "RAFAEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "014315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00012867A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.