Individual
SYED M RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 WEST CHESTER PIKE, SUITE 305, HAVERTOWN, PA 19083-4510
(610) 446-3650
Mailing address
1 W ELM ST, STE 100, CONSHOHOCKEN, PA 19428-4108
(610) 291-2269
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
320978
LA
2084P0800X
Psychiatry Physician
Primary
MD421641
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010444600001
—
PA
01
—
1642940
BLUE SHIELD
PA
01
—
2317211000
PERSONAL CHOICE
PA
01
—
2862828000
AMERIHEALTH PPO
—
01
—
729451000
MIS
PA
01
—
7401590
AETNA
—
Enumeration date
08/07/2006
Last updated
02/05/2020
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