MEDICARE: KHULOOD 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	207RI0200X	Infectious Disease Physician	R1859	TX

General Provider Information

NPI Number	:	1619223104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHULOOD RIZVI M.D.

Provider Business Mailing Address
First Line	:	22999 HIGHWAY 59 N STE 419
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4502
Country	:	US
Telephone Number	:	281-975-2166
Fax Number	:	281-652-5665

Provider Business Practice Location Address
First Line	:	22999 HIGHWAY 59 N STE 419
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4502
Country	:	US
Telephone Number	:	281-975-2166
Fax Number	:	281-652-5665

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

Provider Enumeration Date	:	08/02/2012
Last Update Date	:	11/13/2025

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