Raza, Maryam

Raza, Maryam is an sole proprietor health care provider with primary practice located at 1441 N Beckley Ave , Dallas TX 75203-1201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Raza, Maryam can be contacted via phone (214) 947-5000.

Contact Information

Primary practice address
1441 N Beckley Ave Dallas TX 75203-1201
Phone: (214) 947-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 01680 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M2037 Texas

Profile Details

NPI number 1780637207
LBN Legal business name Raza, Maryam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Jan 8th, 2024 - about 11 months 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 1780637207 NPPES
Texas Other 8BP100 BCBS
Texas MEDICAID 177888802 BCBS

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