National Provider Identifier
Shafi Raza, MD
Shafi Raza, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Olean, NY and a listed phone number of (716) 373-0700.
Profile Overview
- NPI
- 1811151160
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 16, 2008
- Last Updated
- October 13, 2023
Practice Location
- 2430 Constitution Ave
- Olean, NY 14760-1840
Phone: (716) 373-0700
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1811151160
- Entity Type
- Individual
- Last Name
- Raza
- First Name
- Shafi
- Credential
- MD
- Mailing Street Address
- 2430 Constitution Ave
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1840
- Mailing Country
- US
- Mailing Phone
- (716) 373-0700
- Mailing Fax
- (716) 373-7270
- Practice Street Address
- 2430 Constitution Ave
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1840
- Practice Country
- US
- Practice Phone
- (716) 373-0700
- Practice Fax
- (716) 373-7270
- Enumeration Date
- July 16, 2008
- Last Updated
- October 13, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 03349108 (NY)