Provider Demographics
NPI:1720181878
Name:UDDIN, MUHAMMAD RAZI (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:RAZI
Last Name:UDDIN
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 1:2719 BELT LINE RD STE B
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-7086
Mailing Address - Country:US
Mailing Address - Phone:972-530-5999
Mailing Address - Fax:972-530-5909
Practice Address - Street 1:2719 BELT LINE RD STE B
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-7086
Practice Address - Country:US
Practice Address - Phone:972-530-5999
Practice Address - Fax:972-530-5909
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4154208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG38966Medicare UPIN