DR. SHAZIA RAZA (NPI# 1831176189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831176189 |
| Entity Type | Individual |
| Full Name | DR. SHAZIA RAZA |
| Other Name | DR. SHAZIA SHAMIM |
| Credential | MD |
| Practice Address |
4020 Venoy Rd Ste 700 Wayne MI 48184-1891 |
| Practice Telephone | 7344548001 |
| Mailing Telephone | 7344548001 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4301091041 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCLAREN HEALTH PLAN-MEDICAID | 1033514 | 01 |
| MI | BLUE CARE NETWORK | 1103313911 | 01 |
| MI | PHP | 200000016236 | 01 |
| MI | PHP-FAMILYCARE | 200000016236 | 01 |
| MI | MCLAREN HEALTH PLAN-COMMERCIAL | 1033514 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1033514 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 1103313911 | 01 |
| KY | 64071087 | 05 | |
| MI | RAILROAD MEDICARE | P00473883 | 01 |
| Street Address |
4020 VENOY RD STE 700 |
| City | WAYNE |
| State | MI |
| Zip Code | 48184-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104008994 | Robert Edward Gerhardt | Internal Medicine | 57 Crestline Rd, Wayne, PA 19087-2672 | 2007-12-04 |
| 1568564102 | Manuel Joaquin Moquete | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2006-09-03 |
| 1801906896 | North Jersey Nephrology Assoc. Pa | Internal Medicine | 246 Hamburg Turnpike, Suite#207, Wayne, NJ 07470 | 2006-08-30 |
| 1164413266 | Chnadra B Chandran | Internal Medicine | 246 Hamburg Tpke, Wayne, NJ 07470-2150 | 2005-10-30 |
| 1598762148 | Kevin Edwin Vitting | Internal Medicine | 342 Hamburg Tpke, Ste 201, Wayne, NJ 07470-2162 | 2005-06-28 |
| 1942676267 | Vipulkumar M. Bhalara | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2015-08-20 |
| 1417351487 | Maya Fakhoury | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2014-10-20 |
| 1982028726 | George C. Bonifant | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2014-02-14 |
| 1457619421 | Purna Bindu Nandigam | Internal Medicine | 246 Hamburg Tpke, Suite #207, Wayne, NJ 07470-2156 | 2012-04-27 |
| 1811285570 | Anjali Narain Masand | Internal Medicine | 246 Hamburg Tpke, Suite #207, Wayne, NJ 07470-2156 | 2011-07-15 |
| Find all providers in WAYNE | ||||
Please comment or provide details below to improve the information on DR. SHAZIA RAZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.