Provider Demographics
NPI:1124529185
Name:RAZAI, SAHLEY (PA-C)
Entity type:Individual
Prefix:
First Name:SAHLEY
Middle Name:
Last Name:RAZAI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2001 WIDEWATERS PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-7324
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:431 KEISLER DR STE 201
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7064
Practice Address - Country:US
Practice Address - Phone:919-355-9792
Practice Address - Fax:919-551-7518
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-26
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-07859363AM0700X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical