Provider Demographics
NPI:1437188653
Name:RAZA, RUBINA BABER (MD)
Entity Type:Individual
Prefix:MRS
First Name:RUBINA
Middle Name:BABER
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 1:1235 WHITEHORSE-MERCERVILLE RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619
Mailing Address - Country:US
Mailing Address - Phone:609-581-9000
Mailing Address - Fax:609-585-7228
Practice Address - Street 1:1235 WHITEHORSE-MERCERVILLE RD
Practice Address - Street 2:SUITE 306
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619
Practice Address - Country:US
Practice Address - Phone:609-581-9000
Practice Address - Fax:609-585-7228
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06580900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0477454000OtherAMERIHEALTH
NJ7481209Medicaid
1959820OtherUNITED HEALTH CARE
PA0477454000OtherAMERIHEALTH
1959820OtherUNITED HEALTH CARE
NJ0477454000OtherAMERIHEALTH