Pasha, Ibrahim Raza

Pasha, Ibrahim Raza is an individual health care provider with primary practice located at 200 Lake St , Newburgh NY 12550-5243. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Pasha, Ibrahim Raza can be contacted via phone (845) 565-8022.

Contact Information

Primary practice address
200 Lake St Newburgh NY 12550-5243
Phone: (845) 565-8022
Fax: (845) 565-6349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 288684 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 288684 New York

Profile Details

NPI number 1629331798
LBN Legal business name Pasha, Ibrahim Raza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2012
Last updated Nov 9th, 2018 - about 6 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 1629331798 NPPES
New York MEDICAID 03460982

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