Healthcare Provider Details

I. General information

NPI: 1699209122
Provider Name (Legal Business Name): SARAH MARIAM RIZVI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2017
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 PENNSYLVANIA AVE STE D
FORT WASHINGTON PA
19034-3314
US

IV. Provider business mailing address

34 ENDSLOW LN
PERKASIE PA
18944-2600
US

V. Phone/Fax

Practice location:
  • Phone: 215-926-4401
  • Fax: 215-430-7596
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License NumberMD474374
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: