Healthcare Provider Details

I. General information

NPI: 1003435827
Provider Name (Legal Business Name): SOPHIA RIZVI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2020
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 CRITTENDEN BLVD
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

90 CRITTENDEN BOULEVARD
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-5830
  • Fax:
Mailing address:
  • Phone: 585-275-5830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD600005868
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: