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NPI Code Detail

MEDICARE: SHUAA ALI RIZVI

MEDICARE: SHUAA ALI RIZVI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437005774
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHUAA ALI RIZVI
Provider Business Mailing Address
First Line : 19555 N 59TH AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-6813
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19555 N 59TH AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-6813
Country : US
Telephone Number : 623-572-3215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ SHUAA ALI RIZVI ” Practice Location

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