Provider Demographics
NPI:1316116981
Name:RAZEGHI, PETER (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:RAZEGHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21212 NORTHWEST FWY STE 535
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5888
Mailing Address - Country:US
Mailing Address - Phone:832-912-6777
Mailing Address - Fax:281-664-6424
Practice Address - Street 1:21212 NORTHWEST FWY STE 535
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5888
Practice Address - Country:US
Practice Address - Phone:832-912-6777
Practice Address - Fax:281-664-6424
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8279207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM8279OtherTEXAS LICENSE