Individual provider Active NPI

Sohail Razzak, APRN

  • Adult Health Nurse Practitioner
  • Grapevine, TX
National Provider Identifier
1962052308
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP142116 Issued in TX
Practice address
3900 Grapevine Mills Pkwy Unit 1438
Grapevine, TX 76051-0905
Phone
(407) 446-3072
NPI assigned
Sep 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP142116 TX Primary

Addresses

Primary practice location

3900 Grapevine Mills Pkwy Unit 1438
Grapevine, TX 76051-0905

Mailing address

3900 Grapevine Mills Pkwy Unit 1438
Grapevine, TX 76051-0905
Phone (407) 446-3072

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pratik LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1962052308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 GRAPEVINE MILLS PKWY UNIT 1438",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760510905",
            "telephone_number": "407-446-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 GRAPEVINE MILLS PKWY UNIT 1438",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760510905",
            "telephone_number": "407-446-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZAK",
        "first_name": "SOHAIL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP142116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.