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Individual

TANVIR RIZVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 LEE ST FL 1, CHARLOTTESVILLE, VA 22908-4500
(434) 924-9400
(434) 243-6999
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
0101255563
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07830345
MS
05
1124306642
VA
01
P01713180
RAILROAD MEDICARE PTAN
MS
Enumeration date
08/01/2011
Last updated
07/29/2021
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