Provider Demographics
NPI:1972767564
Name:HASHIM RAZA MD
Entity Type:Organization
Organization Name:HASHIM RAZA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:HASHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-673-7745
Mailing Address - Street 1:1303 LINCOLN WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:MCKEESPORT
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:MCKEESPORT
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015668820003Medicaid
PAF23620Medicare UPIN