Provider Demographics
NPI:1518541721
Name:RAZA, MUHAMMAD ALI (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:ALI
Last Name:RAZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1086 FRANKLIN STREET, GME OFFICE, CONEMAUGH MEMORIAL
Mailing Address - Street 2:E3-349 NANCY MARANO
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905
Mailing Address - Country:US
Mailing Address - Phone:814-534-9845
Mailing Address - Fax:814-534-5599
Practice Address - Street 1:1086 FRANKLIN STREET, GME OFFICE, CONEMAUGH MEMORIAL
Practice Address - Street 2:E3-349 NANCY MARANO
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905
Practice Address - Country:US
Practice Address - Phone:814-534-9408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT220118207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine