Raza, Syed Kazim

Raza, Syed Kazim is an individual health care provider with primary practice located at 1775 Ballard Rd , Park Ridge IL 60068-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Raza, Syed Kazim can be contacted via phone (847) 318-9340.

Contact Information

Primary practice address
1775 Ballard Rd Park Ridge IL 60068-1005
Phone: (847) 318-9340
Fax: (847) 318-2966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 055291 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 055291 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-094429 Illinois

Profile Details

NPI number 1164497210
LBN Legal business name Raza, Syed Kazim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164497210 NPPES
Georgia MEDICAID 489849012E
Georgia Other P00220529
Georgia MEDICAID 489849012B
Georgia Other 10053114
Georgia MEDICAID 489849012C
Georgia MEDICAID 489849012D
Georgia Other 52703630
Georgia Other 8940085
Georgia Other 340427
Georgia MEDICAID 489849012F
Georgia Other 4609454
Georgia MEDICAID 489849012A

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