Organization Active NPI

Suban M Razack M D Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Akron, OH
National Provider Identifier
1881727766
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
SUBAN M RAZACK M D INC
Practice address
1134 Brown St
Suite 1B
Akron, OH 44301-1964
Phone
(330) 724-1215
Fax
(330) 724-0699
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Suban Mohamed Razack, MD
Title
Physician
Phone
(330) 724-1215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X OH Primary

Addresses

Primary practice location

1134 Brown St
Suite 1B
Akron, OH 44301-1964

Mailing address

1134 Brown St Ste 1B
Akron, OH 44301-1964
Phone (330) 724-1215

Other identifiers 1

IdentifierTypeStateIssuer
2746603MedicaidOH

National Provider Directory

National Provider Directory

Locations

155 Heritage Woods Dr
Copley, OH 44321
Phone (330) 666-0980

4286 Kent Rd
Stow, OH 44224
Phone (330) 686-2545

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1881727766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 BROWN ST STE 1B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443011964",
            "telephone_number": "330-724-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 BROWN ST",
            "address_2": "SUITE 1B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443011964",
            "telephone_number": "330-724-1215",
            "fax_number": "330-724-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBAN M RAZACK M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "RAZACK",
        "authorized_official_first_name": "SUBAN",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-724-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2746603",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.