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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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