Provider Demographics
NPI:1205135985
Name:RAZA, SAMREEN RIZVI (MD)
Entity type:Individual
Prefix:DR
First Name:SAMREEN
Middle Name:RIZVI
Last Name:RAZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAMREEN
Other - Middle Name:
Other - Last Name:RIZVI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4708 ALLIANCE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5362
Mailing Address - Country:US
Mailing Address - Phone:972-941-3100
Mailing Address - Fax:844-292-1461
Practice Address - Street 1:4708 ALLIANCE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5362
Practice Address - Country:US
Practice Address - Phone:972-941-3100
Practice Address - Fax:844-292-1461
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420012893207R00000X
TXQ4498207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology