| Sughra Raza, MD | |
|
55 Lake Ave N, Worcester, MA 01655-0002 | |
| (508) 334-3850 | |
| (508) 334-6490 |
| Full Name | Sughra Raza |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 55 Lake Ave N, Worcester, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447246459 | NPI | - | NPPES |
| 3082237 | Medicaid | MA | |
| E95640BWHT | Other | MA | HARVARD PILGRIM |
| 73856 | Other | MA | TUFTS HEALTH CARE |
| J11473 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 23201 (New Hampshire) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 73856 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
| Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
| Springfield Hospital | Springfield, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dartmouth-hitchcock Clinic | 4183537509 | 1440 |
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1683 |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Sughra Raza, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Sughra Raza, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-3850 |
Dominique Rowcroft, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Alan Goldstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-856-1860 | |
Nicholas Charles Fasano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave North, Worcester, MA 01655 Phone: 508-334-3850 | |
Jasmeet Singh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-334-9108 | |
John Robinson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Fareed Riyaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 978-939-2035 Fax: 978-939-2039 | |
Iryna Rastarhuyeva, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave North, Worcester, MA 01655 Phone: 502-334-3850 |