Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME140474 | FL |
NPI | 1114213329 |
---|---|
Provider Name | Syed Shahzad Razi |
First Address | Miramar, FL 33025-3925 |
Second Address | Hollywood, FL 33021-5471 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2011 |
Last Update Date | 16/03/2021 |