National Provider Identifier
Syed Hasan Raza, MD
Syed Hasan Raza, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Medina, NY and a listed phone number of (585) 798-4108.
Profile Overview
- NPI
- 1497715296
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 24, 2006
- Last Updated
- January 28, 2026
Practice Location
- 711 Park Avenue Building 1 Ste 202
- Medina, NY 14103-1078
Phone: (585) 798-4108
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1497715296
- Entity Type
- Individual
- Last Name
- Raza
- First Name
- Syed
- Middle Name
- Hasan
- Credential
- MD
- Mailing Street Address
- 711 Park Avenue Building 1 Ste 202
- Mailing City
- Medina
- Mailing State
- NY
- Mailing ZIP Code
- 14103-1078
- Mailing Country
- US
- Mailing Phone
- (585) 798-4108
- Mailing Fax
- (585) 798-4894
- Practice Street Address
- 711 Park Avenue Building 1 Ste 202
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-1078
- Practice Country
- US
- Practice Phone
- (585) 798-4108
- Practice Fax
- (585) 798-4894
- Enumeration Date
- March 24, 2006
- Last Updated
- January 28, 2026
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- January 28, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- P010000452 (NY, Blue Choice), 0409179 (NY, Independent Health), 01689312 (NY)