Raza, Mohammed K
Raza, Mohammed K is an sole proprietor health care provider with primary practice located at 3520 E 15Th St , Panama City FL 32404-5831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Raza, Mohammed K can be contacted via phone (850) 763-4104.Contact Information
Primary practice address
3520 E 15Th St
Panama City FL 32404-5831
Phone: (850) 763-4104
Fax: (850) 784-7706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME45432 | Florida |
Profile Details
| NPI number | 1316054109 |
|---|---|
| LBN Legal business name | Raza, Mohammed K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316054109 | NPPES |
| Florida | Other | 03622 | BCBS OF FLORIDA |
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