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1538149828

NPI Code Detail

MEDICARE: DR. SADIQ HUSAIN RIZVI MD

MEDICARE: DR. SADIQ HUSAIN 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	4301039824	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	700H222490	OTHER	MI	BLUE SHIELD/BCN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538149828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SADIQ HUSAIN RIZVI MD

Provider Business Mailing Address
First Line	:	29992 NORTHWESTERN HWY
Second Line	:	STE C
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-3292
Country	:	US
Telephone Number	:	248-851-1430
Fax Number	:	248-851-5182

Provider Business Practice Location Address
First Line	:	1213 MASON ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2841
Country	:	US
Telephone Number	:	313-274-2525
Fax Number	:	313-274-5540

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	11/06/2018

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Directions to “ DR. SADIQ HUSAIN RIZVI MD” Practice Location

Language	Start Address	Practice Location

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