# DR. SAMI A RIZVI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811583982
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | CV2005333 | IN | Yes |
| 208D00000X | General Practice Physician | NJDCATEMP-033509 | NJ | — |

## Other

- **Enumeration date:** 12/14/2020
- **Last updated:** 03/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CV2005333 | INDIANA LICENSE | IN |
| 01 | — | NJDCATEMP-033509 | NJ :LICENSE | NJ |