Syed Raza MD PSC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

36481 Issued in KY

Legal business name

SYED RAZA MD PSC

Practice address

110 Professional LN
Harlan, KY 40831-2590

Phone

(606) 573-8320

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Syed Raza, M.D.

Title

President

Phone

(606) 573-2398

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1871732867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "GRAYS KNOB",
            "state": "KY",
            "postal_code": "408290360",
            "telephone_number": "606-573-2398",
            "fax_number": "606-574-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL LN",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312590",
            "telephone_number": "606-573-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED RAZA MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-573-2398",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "36481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64027675",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Harlan, KY
• Providers in Harlan, KY by specialty
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.