Provider Demographics
NPI:1811786254
Name:NASEEM B. RAZAVI, MD LLC
Entity type:Organization
Organization Name:NASEEM B. RAZAVI, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NASEEM
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAZAVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-685-1912
Mailing Address - Street 1:20 FOUNDRY ST, 2ND FLOOR
Mailing Address - Street 2:SUITE 243
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-685-1912
Mailing Address - Fax:
Practice Address - Street 1:20 FOUNDRY ST, 2ND FLOOR
Practice Address - Street 2:SUITE 243
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-685-1912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty