Ali, Raza

Ali, Raza is an individual health care provider with primary practice located at 5308 S John Young Pkwy Suite #200, Orlando FL 32839-7362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Ali, Raza can be contacted via phone (407) 240-9766.

Contact Information

Primary practice address
5308 S John Young Pkwy Suite #200 Orlando FL 32839-7362
Phone: (407) 240-9766
Fax: (407) 240-9508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME 0062109 Florida

Profile Details

NPI number 1770523482
LBN Legal business name Ali, Raza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770523482 NPPES
Florida MEDICAID 374787502

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