Provider Demographics
NPI:1336767953
Name:RAZA, HAFIZ MUHAMMAD ALI (MD)
Entity Type:Individual
Prefix:
First Name:HAFIZ MUHAMMAD ALI
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 1:830 S GLOSTER ST
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-4996
Mailing Address - Country:US
Mailing Address - Phone:662-377-3000
Mailing Address - Fax:
Practice Address - Street 1:NORTH MISSISSIPPI MEDICAL CENTRE
Practice Address - Street 2:830 S GLOSTER ST
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801
Practice Address - Country:US
Practice Address - Phone:662-377-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-09
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program