Individual
DR. MOHAMMAD RIZWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 E BAKER ST, INDIANOLA, MS 38751-2450
(662) 887-5235
Mailing address
108 ASHTON PARK BLVD, MADISON, MS 39110-8475
(601) 898-3060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14546
MS
207R00000X
Internal Medicine Physician
Primary
14546
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302I930851
—
MS
Enumeration date
07/17/2006
Last updated
03/21/2025
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