1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MR. ABDUL REHMAN RAZZAQ M.D.
NPI 1205574605
Student in an Organized Health Care Education/Training Program in Southfield, MI

Active since May 25, 2022PECOS Enrolled
22250 PROVIDENCE DRIVE, SUITE #557, SOUTHFIELD, MI 48075(248) 849-3447(248) 849-8021 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2022, May 25, 2022 (2 updates tracked since 2022).

About Mr. Abdul Rehman Razzaq M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ABDUL REHMAN RAZZAQ M.D. (NPI 1205574605) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205574605
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ABDUL REHMAN RAZZAQCredential: M.D.
Location Address22250 PROVIDENCE DRIVE, SUITE #557Southfield, MI 48075-4818
Mailing Address22250 Providence Drive, Suite #557Southfield, MI 48075-4818 · (248) 849-3447 · Fax (248) 849-8021
Phone(248) 849-3447
Fax(248) 849-8021
Sole ProprietorNo
Enumeration DateMay 25, 2022
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1205574605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Abdul Rehman Razzaq M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abdul Razzaq's NPI number?

The NPI number for Abdul Razzaq is 1205574605. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Abdul Razzaq located?

Abdul Razzaq practices at 22250 Providence Drive, Suite #557, Southfield, MI 48075. The listed phone number is (248) 849-3447.

What is Abdul Razzaq's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Abdul Razzaq enrolled in Medicare?

Yes. Abdul Razzaq is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abdul Razzaq was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.