MEDICARE: MRS. KOMAL RIZWAN II

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
1	171R00000X	Interpreter	A60072755	VA

General Provider Information

NPI Number	:	1154271856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KOMAL RIZWAN II

Provider Business Mailing Address
First Line	:	5891 RHODE ISLAND DR
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-3835
Country	:	US
Telephone Number	:	703-678-7499
Fax Number	:

Provider Business Practice Location Address
First Line	:	5891 RHODE ISLAND DR
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-3835
Country	:	US
Telephone Number	:	703-678-7499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/04/2026

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