| Raza Mushtaq, MD | |
|
200 Medical Pkwy Ste 310, Lakeway, TX 78738-1794 | |
| (512) 654-0300 | |
| Not Available |
| Full Name | Raza Mushtaq |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 200 Medical Pkwy Ste 310, Lakeway, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700271285 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Joseph's Hospital And Medical Center | Phoenix, AZ | Hospital |
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Banner-university Medical Center South Campus | Tucson, AZ | Hospital |
| Nacogdoches Medical Center | Nacogdoches, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Radiology Pllc | 8628332061 | 217 |
| Banner-university Medical Group | 7719899871 | 1066 |
| Southwest Neuro-imaging Ltd | 2062497761 | 8 |
| Banner Imaging Services Llc | 1850724386 | 122 |
| Er Physician Group At Jackson Hospital | 8729059472 | 153 |
| Peterson Medical Associates | 1355467887 | 192 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Entity Name | Southwest Neuro-imaging Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679549190 PECOS PAC ID: 2062497761 Enrollment ID: O20040618000394 |
| Entity Name | Banner - University Hospital Based Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Banner Imaging Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770139958 PECOS PAC ID: 1850724386 Enrollment ID: O20191213001312 |
| Entity Name | Mt Graham Regional Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275588345 PECOS PAC ID: 6204822364 Enrollment ID: O20201016000847 |
| Entity Name | Concord Radiology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598260515 PECOS PAC ID: 8628332061 Enrollment ID: O20210429001711 |
| Entity Name | Coaxion PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629805221 PECOS PAC ID: 3779099643 Enrollment ID: O20260304002330 |
| Mailing Address | Practice Location Address |
|---|---|
| Raza Mushtaq, MD Po Box 44037, Phoenix, AZ 85064-4037 Ph: (602) 954-6228 | Raza Mushtaq, MD 200 Medical Pkwy Ste 310, Lakeway, TX 78738-1794 Ph: (512) 654-0300 |
Kevin Bieri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000 Fax: 512-571-5198 |
Dr. Peter Donald Koplyay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000 |