Individual ProviderAli RaziAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address1050 Key Pkwy Ste 103, Frederick, MD 21702-4496(240) 629-3939(410) 236-0065PECOS EnrollmentBased on the most recent information from CMS, provider Ali Razi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1932116241Provider TypeIndividualFull NameRazi, AliCredentialMDGenderMaleSole ProprietorYesEnumeration Date8/1/2006Last Updated3/17/2018Contact InformationPractice LocationPractice Address1050 Key Pkwy Ste 103, Frederick, MD 21702-4496Phone(240) 629-3939Fax(240) 629-3940Mailing LocationMailing Address8721 Lake Edge Dr, Laurel, MD 20723-4908Phone(410) 236-0065FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseD0058379Maryland