Provider Demographics
NPI:1669514857
Name:ARSHAD, RAJA RIAZ (MD)
Entity type:Individual
Prefix:DR
First Name:RAJA
Middle Name:RIAZ
Last Name:ARSHAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5707 CALVERTON ST
Mailing Address - Street 2:SUITE 1 E
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4154
Mailing Address - Country:US
Mailing Address - Phone:410-744-5115
Mailing Address - Fax:410-747-2550
Practice Address - Street 1:5707 CALVERTON ST
Practice Address - Street 2:SUITE 1 E
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-4154
Practice Address - Country:US
Practice Address - Phone:410-744-5115
Practice Address - Fax:410-747-2550
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00216372080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB70653Medicare UPIN