MEDICARE: SYED GHAZI UR-REHMAN RIZVI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	T0327	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	T0327	TX

General Provider Information

NPI Number	:	1023462678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED GHAZI UR-REHMAN RIZVI MD

Provider Business Mailing Address
First Line	:	4214 ROTH DRIVE
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459
Country	:	US
Telephone Number	:	716-249-9367
Fax Number	:

Provider Business Practice Location Address
First Line	:	6411 FANNIN STREET
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-5201
Country	:	US
Telephone Number	:
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2016
Last Update Date	:	06/18/2024

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