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NPI Code Detail

MEDICARE: DAHLIA RIZK DO

MEDICARE: DAHLIA RIZK DO
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 Physician213233NY
2208M00000XHospitalist Physician213233NY

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 : 1144202433
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAHLIA RIZK DO
Provider Business Mailing Address
First Line : PO BOX 95000-2433
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19195-2433
Country : US
Telephone Number : 212-844-1808
Fax Number :
Provider Business Practice Location Address
First Line : 10 NATHAN D PERLMAN PL
Second Line : 16TH ST AT 1ST AVENUE
City : NEW YORK
State : NY
Zip : 10003-3851
Country : US
Telephone Number : 212-844-1808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 05/01/2019

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