Provider Demographics
NPI:1699021972
Name:RAWASIA, WASIQ FARAZ (MD,)
Entity Type:Individual
Prefix:DR
First Name:WASIQ
Middle Name:FARAZ
Last Name:RAWASIA
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 1:13325 HARGRAVE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4541
Mailing Address - Country:US
Mailing Address - Phone:281-955-7863
Mailing Address - Fax:281-477-8832
Practice Address - Street 1:13325 HARGRAVE RD STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4541
Practice Address - Country:US
Practice Address - Phone:281-955-7863
Practice Address - Fax:281-477-8832
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.37759207RC0000X, 207RI0011X
TXT9778207RI0011X, 207RC0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program