Individual
STEPHANOS RIZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2915 LAKE SHORE DR, LONG BEACH, IN 46360-1705
(219) 879-1133
Mailing address
2915 LAKE SHORE DR, LONG BEACH, IN 46360-1705
(219) 879-1133
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01045028
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000721927
ANTHEM TRADITIONAL
IN
05
—
200119130
—
IN
Enumeration date
02/07/2006
Last updated
02/16/2026
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