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

Shaneabbas Raza, MDPHD

Individual provider Urology Physician · NPI 1376168955

Shaneabbas Raza, MDPHD is an Urology in Hopkinsville, Kentucky. Graduated from University of North Dakota School of Medicine in 2020, 6 years ago. Practices with Jennie Stuart Medical Center Inc, a 110-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Trained at
University of North Dakota School of Medicine
Licensed in
KY
In the registry since
2020

Practice location Address checks out

1717 High St Ste 3
Hopkinsville, KY 42240-6300
Phone: (270) 886-5141
Fax: (270) 885-1877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 60977 (KY)

Record details

NPI number1376168955
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJune 10, 2020
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Jennie Stuart Medical Center Inc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hopkinsville