Syed T Raza
Interventional Cardiology Internist - Cardiovascular Disease
1919 State Street Suite 302
New Albany
, Indiana 47150-6806
Syed T Raza
Interventional Cardiology Internist - Cardiovascular Disease
1919 State Street Suite 302
New Albany
, Indiana 47150-6806
(812) 542-1891
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Syed T Raza
- Po Box 950103
- Louisville, KY
- Zip : 40295-0103
- Fax : (812) 542-1891
- Phone : (812) 542-1880
Second Address
- Syed T Raza
- 1919 State Street Suite 302
- New Albany, IN
- Zip : 47150-6806
- Fax : (812) 542-1891
- Phone : (812) 542-1880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 01055970A | IN |
| N | 207RC0000X | Internist - Cardiovascular Disease | 32779 | KY |
| Y | 207RI0011X | Interventional Cardiology | 01055970A | IN |
| N | 207RI0011X | Interventional Cardiology | 32779 | KY |
National Provider Identifier
| NPI | 1104847862 |
|---|---|
| Provider Name | Syed T Raza |
| First Address | Louisville, KY 40295-0103 |
| Second Address | New Albany, IN 47150-6806 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 08/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000482692 | ANTHEM BCBS (01) | KY |
| 012970 | SIHO (01) | |
| 1187455 | CHA (01) | KY |
| 200366430 | (05) | IN |
| 2751206000 | PASSPORT ADVANTAGE (01) | KY |
| 299856 | FEDERAL BLACK LUNG PROGRA (01) | |
| 50011228 | PASSPORT HEALTH PLAN (01) | KY |
| 64045966 | (05) | KY |
| 7693352 | AETNA (01) | KY |
| 7959861 | CIGNA (01) | KY |
| H00942 | (02) | KY |
| P00342895 | RAILROAD MEDICARE (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.