Mahwesh Razzaq, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600424 Issued in MI

Practice address

24800 Lahser Rd
Southfield, MI 48033-3237

Phone

(248) 357-1999

NPI assigned

Jul 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tru Dental Michigan PC

  • General Practice Dentistry
  • Southfield, MI
  • NPI 1235718503
  NPD

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1669760906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N CLARK ST STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333237",
            "telephone_number": "248-357-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZAQ",
        "first_name": "MAHWESH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahimah Ben-Asad Ray-El
• Lea Ann Raymo, PH.D., LLP
• Rays of Iris Home Care Agency
• Asad Raza, MD
• Abdul Rehman Razzaq, M.D.
• RDS Connectinghearts
• Emma Read
• Real Impact Behavioral Health Center
• Real Perspective Counseling Agency
• Real Solutions Services

• General Practice Dentistry in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.