Individual ProviderFajar RazaPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address646 George St, New Haven, CT 06511-5322(203) 784-8700PECOS EnrollmentBased on the most recent information from CMS, provider Fajar Raza 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 yesterday at 12:57 PM.Profile DetailsProvider ID1053990622Provider TypeIndividualFull NameRaza, FajarCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/2/2021Last Updated7/30/2025Contact InformationPractice LocationPractice Address646 George St, New Haven, CT 06511-5322Phone(203) 784-8700Fax(203) 784-8703Mailing LocationMailing Address646 George St, New Haven, CT 06511-5322Phone(203) 784-8700Fax(203) 784-8703Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense80352Connecticut