# NAHEED RIZVI MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023365129
- **Authorized official:** LYNN JUSTUSSON (VP)
- **Authorized official phone:** (800) 743-0396

## Contact information

- **Practice address:** 2520 W WACKERLY ST, MIDLAND, MI 48640-6921
- **Practice address phone:** (989) 513-4255
- **Mailing address:** 2520 W WACKERLY ST, MIDLAND, MI 48640-6921
- **Mailing address phone:** (989) 513-4255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301082706 | MI | Yes |

## Other

- **Enumeration date:** 08/07/2012
- **Last updated:** 08/07/2012
