Provider Demographics
NPI:1427041409
Name:RAZA, JAMILA FERZANA (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMILA
Middle Name:FERZANA
Last Name:RAZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 DUNCAN DR
Mailing Address - Street 2:BLDG 1440, STE A148
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31409-5107
Mailing Address - Country:US
Mailing Address - Phone:912-315-6193
Mailing Address - Fax:
Practice Address - Street 1:230 DUNCAN DR
Practice Address - Street 2:TAHC,SUITE A112
Practice Address - City:HUNTER AAF
Practice Address - State:GA
Practice Address - Zip Code:31409-5102
Practice Address - Country:US
Practice Address - Phone:912-352-6926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050487208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics