Provider Demographics
NPI:1619947421
Name:RIAZ, MOHAMMAD (MD)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:
Last Name:RIAZ
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 1:9230 KATY FREEWAY
Mailing Address - Street 2:SUITE #410
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055
Mailing Address - Country:US
Mailing Address - Phone:281-556-6662
Mailing Address - Fax:281-556-6623
Practice Address - Street 1:9230 KATY FWY STE 410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7468
Practice Address - Country:US
Practice Address - Phone:281-556-6622
Practice Address - Fax:281-647-7767
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1023207RX0202X, 207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G7965OtherBC/BS PROVIDER NUMBER
TX137382113Medicaid
TXP00127388OtherRAILROAD MEDICARE PROV #
TX137382113Medicaid
TX8G7965OtherBC/BS PROVIDER NUMBER