MEDICARE: WAJEEHA RIZVI 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
1	207R00000X	Internal Medicine Physician	94-08978	KS
2	207RH0003X	Hematology & Oncology Physician	036158423	IL
3	207RH0003X	Hematology & Oncology Physician	W4942	TX

General Provider Information

NPI Number	:	1154773661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAJEEHA RIZVI M.D.

Provider Business Mailing Address
First Line	:	24510 NORTHWEST FWY STE 120
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-2196
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24510 NORTHWEST FWY STE 120
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-2196
Country	:	US
Telephone Number	:	346-618-3460
Fax Number	:	346-618-3403

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

Provider Enumeration Date	:	07/08/2016
Last Update Date	:	06/15/2026

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