Individual
SYED ASHTER RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
1910 ROCKLEDGE BLVD STE 102, ROCKLEDGE, FL 32955-3751
(321) 636-6599
(321) 636-6614
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
71390
WI
2085R0202X
Diagnostic Radiology Physician
ME168389
FL
2085R0202X
Diagnostic Radiology Physician
U4812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090549
—
WI
Enumeration date
06/26/2014
Last updated
09/16/2024
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