Provider Demographics
NPI:1104051572
Name:RAZA, ZOHAIR S (MD)
Entity type:Individual
Prefix:
First Name:ZOHAIR
Middle Name:S
Last Name:RAZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3114 BLUE BONNET BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2004
Mailing Address - Country:US
Mailing Address - Phone:549-882-5981
Mailing Address - Fax:
Practice Address - Street 1:4201 GARTH RD STE 107
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3154
Practice Address - Country:US
Practice Address - Phone:954-882-5981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS0783207RC0000X
NJ25MA09964200207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ22-3052989OtherTAX ID#