Provider Demographics
NPI:1275623688
Name:RAZI, JOAN ANGELA (MD)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ANGELA
Last Name:RAZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:IOANA
Other - Middle Name:
Other - Last Name:RAZI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3537 R STREET NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2327
Mailing Address - Country:US
Mailing Address - Phone:202-333-1774
Mailing Address - Fax:202-333-4992
Practice Address - Street 1:3537 R STREET NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2327
Practice Address - Country:US
Practice Address - Phone:202-333-1774
Practice Address - Fax:202-333-4992
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC12131208000000X
VA25446208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E80676Medicare UPIN