Raza, Shafi
Raza, Shafi is an sole proprietor health care provider with primary practice located at 2430 Constitution Ave , Olean NY 14760-1840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raza, Shafi can be contacted via phone (716) 373-0700.Contact Information
Primary practice address
2430 Constitution Ave
Olean NY 14760-1840
Phone: (716) 373-0700
Fax: (716) 373-7270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 003818 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 271453 | New York |
Profile Details
| NPI number | 1811151160 |
|---|---|
| LBN Legal business name | Raza, Shafi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2008 |
| Last updated | Oct 13th, 2023 - about last year |
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 | 1811151160 | NPPES |
| New York | MEDICAID | 03349108 |
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