Individual
SOHA KHAN RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
14645 HAZEL DELL RD, NOBLESVILLE, IN 46062-7066
(317) 992-2090
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005373A
IN
207Q00000X
Family Medicine Physician
34.013840
OH
390200000X
Student in an Organized Health Care Education/Training Program
11019018A
IN
Other
Enumeration date
06/28/2016
Last updated
04/29/2025
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