Provider Demographics
NPI:1780675447
Name:RAZA, HASHIM (MD)
Entity Type:Individual
Prefix:
First Name:HASHIM
Middle Name:
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 1:1303 LINCOLN WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1603
Mailing Address - Country:US
Mailing Address - Phone:412-673-7745
Mailing Address - Fax:412-673-7746
Practice Address - Street 1:1303 LINCOLN WAY
Practice Address - Street 2:SUITE B
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-1603
Practice Address - Country:US
Practice Address - Phone:412-673-7745
Practice Address - Fax:412-673-7746
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049441L207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01566882Medicaid
PARA824612Medicare ID - Type Unspecified
F23620Medicare UPIN