Khan, Raza Ali
Khan, Raza Ali is an individual health care provider with primary practice located at 9336 Blakeney Centre Dr Ste 100B , Charlotte NC 28277-6694. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Khan, Raza Ali can be contacted via phone (704) 862-4700.Contact Information
Primary practice address
9336 Blakeney Centre Dr Ste 100B
Charlotte NC 28277-6694
Phone: (704) 862-4700
Fax: (704) 862-4749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 098280 | Ohio |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD.203861 | Louisiana |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2012-01447 | North Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34704 | South Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 098280 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 34704 | South Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 098280 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 2012-01447 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 34704 | South Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2012-01447 | North Carolina |
Profile Details
| NPI number | 1407067929 |
|---|---|
| LBN Legal business name | Khan, Raza Ali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Jun 10th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407067929 | NPPES |
| North Carolina | MEDICAID | 5921949 | |
| North Carolina | MEDICAID | 409952 | |
| North Carolina | MEDICAID | 1407067929 |
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