Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | C152763 | CA |
Y | 207RI0011X | Interventional Cardiology | C152763 | CA |
NPI | 1013425842 |
---|---|
Provider Name | Sulman Razzaq |
First Address | Sacramento, CA 95865-5228 |
Second Address | Modesto, CA 95355-2707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2018 |
Last Update Date | 01/09/2021 |