Healthcare Provider Details

I. General information

NPI: 1528175619
Provider Name (Legal Business Name): SYED M RIZVI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 NW 9TH ST STE 205
OKLAHOMA CITY OK
73102-1077
US

IV. Provider business mailing address

535 NW 9TH ST STE 205
OKLAHOMA CITY OK
73102-1077
US

V. Phone/Fax

Practice location:
  • Phone: 405-632-4000
  • Fax: 405-632-4073
Mailing address:
  • Phone: 405-632-4000
  • Fax: 405-632-4073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number23640
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: