IndividualActive
Ahsan Raza, MD
NPI 1861008146 · Student in an Organized Health Care Education/Training Program · Tupelo, MS
Provider details
- NPI number
- 1861008146
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
830 S Gloster St
Tupelo, MS 38801-4996
Phone: (662) 377-6652
Approximate (ZIP-level) locationGet directions
Mailing address
830 S Gloster St
Tupelo, MS 38801-4934
Registry dates
- Enumerated
- 2020-09-21
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.