Doctor Name: | DR. MOHAMMED M RAZVI |
NPI Number: | 1316033640 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036047344 |
Business Practice Address: | 130 N Laird Ln Ste 102 Watseka, IL - 609701820 |
Business Phone Number: | 8154324312 |
Business Fax Number: | 8154323616 |
Mailing Address: | 130 N Laird Ln, Ste 102 WATSEKA |
State: | IL |
Postal Code: | 60970 |
Phone Number: | 8154324312 |
Fax Number: | 8154323616 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 036047344 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |