Organization
SYED M RIZVI MD LLC
Active
Organization
SYED M RIZVI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED M RIZVI M.D. (PRESIDENT)
(610) 291-2269
Entity
Organization
Contact information
Practice address
340 N MIDDLETOWN RD, MEDIA, PA 19063-5505
(610) 891-5840
Mailing address
PO BOX 162, WYNNEWOOD, PA 19096-0162
(610) 291-2269
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD421641
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1642940
HIGHMARK BLUE SHIELD
—
01
—
1948986
PREMIER BLUE
—
01
—
2862828000
AMERIHEALTH PPO
—
01
—
7401590
AETNA
—
Enumeration date
03/08/2007
Last updated
09/25/2009
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