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NPI Code Detail

MEDICARE: DR. MOHAMMAD RIZWAN M.D.

MEDICARE: DR. MOHAMMAD RIZWAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician14546MS
2207P00000XEmergency Medicine Physician14546MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124045679
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD RIZWAN M.D.
Provider Business Mailing Address
First Line : 108 ASHTON PARK BLVD
Second Line :
City : MADISON
State : MS
Zip : 39110-8475
Country : US
Telephone Number : 601-898-3060
Fax Number :
Provider Business Practice Location Address
First Line : 121 E BAKER ST
Second Line :
City : INDIANOLA
State : MS
Zip : 38751-2450
Country : US
Telephone Number : 662-887-5235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 03/21/2025

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Directions to “ DR. MOHAMMAD RIZWAN M.D.” Practice Location

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