Search › Wisconsin › 363AM0700X
Hasan Raza, PA-C
NPI 1710382601 · on the registry since 2014
Practice
- Address
- 17 S River St
Suite 254
Janesville, WI 53548 - Phone
- (608) 755-5260
- Organisation at this address
- Trivium Llc
Trivium Llc
Cooperative Educational Service Agency 2Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AS0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin