Provider Demographics
NPI:1346626017
Name:RAZA, MUBASHRA
Entity Type:Individual
Prefix:
First Name:MUBASHRA
Middle Name:
Last Name:RAZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 DR. D B TODD JR. BLVD
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL HEALTH
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208
Mailing Address - Country:US
Mailing Address - Phone:615-327-6350
Mailing Address - Fax:
Practice Address - Street 1:1005 DR. D B TODD JR. BLVD
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL HEALTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208
Practice Address - Country:US
Practice Address - Phone:615-327-6350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry