DR. ANMAR RAZAK (NPI# 1154545853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154545853 |
| Entity Type | Individual |
| Full Name | DR. ANMAR RAZAK |
| Credential | M.D. |
| Practice Address |
804 Service Rd Room A217 East Lansing MI 48824-7040 |
| Mailing Address |
804 Service Rd A201 East Lansing MI 48824-7015 |
| Practice Telephone | 5173538122 |
| Practice Fax Number | 5174323713 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301087375 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
4301087375 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1154545853 | 05 |
| Street Address |
804 SERVICE RD ROOM A217 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-7040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356888044 | Jenny Peih-chir Tsai | Psychiatry & Neurology | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2017-01-19 |
| 1699227116 | Neuro Team One Pllc | Psychiatry & Neurology | 31500 Telegraph Rd Ste 115, Bingham Farms, MI 48025-4302 | 2016-11-01 |
| 1265986806 | Xavier Md PC | Psychiatry & Neurology | 31500 Telegraph Rd Ste 115, Bingham Farms, MI 48025-4302 | 2016-08-11 |
| 1730507930 | Kavit Shah | Psychiatry & Neurology | 2799 W. Grand Blvd, Detroit, MI 48202 | 2014-04-03 |
| 1598023665 | George Matthew Dillon | Psychiatry & Neurology | 34025 Harper Ave, Clinton Township, MI 48035 | 2012-04-26 |
| 1902035819 | Vivek Rai | Psychiatry & Neurology | 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 | 2009-07-13 |
| 1043452337 | Muhib Alam Khan | Psychiatry & Neurology | 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 | 2009-04-01 |
| 1164479911 | Surindar K Jolly | Psychiatry & Neurology | 4020 Venoy Rd, Ste#800, Wayne, MI 48184-1869 | 2006-05-27 |
| City | EAST LANSING |
| Zip Code | 48824 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.