Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fazal I Raziq, MD

Individual provider Internal Medicine Physician · NPI 1265928915

Dr. Fazal I Raziq, MD is a Pulmonary Disease in Green Bay, Wisconsin. Qualified in 2016, 10 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
10
Licensed in
MI, WI
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1821 S Webster Ave
Green Bay, WI 54301-2253
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 82694-20 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301115856 (MI)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 4301504715 (MI)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 4301504715 (MI)

Record details

NPI number1265928915
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2018
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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