Raza, Mudusar I
Raza, Mudusar I is an individual health care provider with primary practice located at 12821 Oak Hill Ave , Hagerstown MD 21742-2940. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Raza, Mudusar I can be contacted via phone (301) 733-0300.Contact Information
Primary practice address
12821 Oak Hill Ave
Hagerstown MD 21742-2940
Phone: (301) 733-0300
Fax: (301) 733-5773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 053707 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D66166 | Maryland |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | D66166 | Maryland |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | D66166 | Maryland |
Profile Details
| NPI number | 1467562371 |
|---|---|
| LBN Legal business name | Raza, Mudusar I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Apr 5th, 2022 - about 2 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 | 1467562371 | NPPES |
| Maryland | Other | 91623801 | CAREFIRST BCBS |
| Maryland | MEDICAID | 413617900 | CAREFIRST BCBS |
| Maryland | Other | 74960005 | CAREFIRST BCBS |
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