Provider Demographics
NPI:1467031062
Name:RAZA, ALI SYED (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:SYED
Last Name:RAZA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:SYED
Other - Middle Name:ALI
Other - Last Name:RAZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:PSYCHIATRY DEPT, RESIDENCY PROGRAM
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6106
Mailing Address - Country:US
Mailing Address - Phone:617-732-5500
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:PSYCHIATRY DEPT, RESIDENCY PROGRAM
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6106
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program