Healthcare Provider Details

I. General information

NPI: 1437380276
Provider Name (Legal Business Name): MIAN RIZWAN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2009
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14201 N 87TH ST STE A-105
SCOTTSDALE AZ
85260-3683
US

IV. Provider business mailing address

8776 E SHEA BLVD # 487
SCOTTSDALE AZ
85260-6629
US

V. Phone/Fax

Practice location:
  • Phone: 480-571-3060
  • Fax: 480-571-3061
Mailing address:
  • Phone: 480-571-3060
  • Fax: 480-571-3061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2013021418
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2013021418
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number65678
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: