Healthcare Provider Details

I. General information

NPI: 1033184254
Provider Name (Legal Business Name): MUHAMMAD Z RIZWAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 WARWICK BLVD STE 290
NEWPORT NEWS VA
23601-2344
US

IV. Provider business mailing address

600 MOYE BLVD 3E-149 BRODY MEDICAL SCIENCES BUILDING
GREENVILLE NC
27834-4300
US

V. Phone/Fax

Practice location:
  • Phone: 757-534-5454
  • Fax:
Mailing address:
  • Phone: 252-744-5258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number200401310
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number0101264708
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number0101264708
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: