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NPI Code Detail

MEDICARE: DR. SHEHNAZ RIZVI MD

MEDICARE: DR. SHEHNAZ 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
1207R00000XInternal Medicine Physician4301049097MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2700H222490OTHERMIBLUE SHIELD/BCN

General Provider Information

NPI Number : 1619957420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHEHNAZ RIZVI MD
Provider Business Mailing Address
First Line : 1213 MASON ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2841
Country : US
Telephone Number : 313-278-2800
Fax Number : 248-932-2863
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 : 01/18/2006
Last Update Date : 03/01/2019

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