Doctor Name: | ABDUL T RAZACK |
NPI Number: | 1144294406 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 64185 |
Business Practice Address: | 3600 Kolbe Rd Suite 221 Lorain, OH - 440531652 |
Business Phone Number: | 4409602718 |
Business Fax Number: | 4409605633 |
Mailing Address: | P.o. Box 364, AMHERST |
State: | OH |
Postal Code: | 440010364 |
Phone Number: | 4409602718 |
Fax Number: | 4409605633 |
NPI Enumeration Date: | 02/14/2006 |
NPI Last Update Date: | 06/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 64185 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |