Individual
DR. SYED MOHSAN RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2235 CLEVELAND RD, SOUTH BEND, IN 46628-3529
(574) 647-4530
(574) 647-2285
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01072465A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000831429
BCBS BMG SCHWARTZ-WIEKAMP
IN
01
—
000000856151
BCBS BMG LAPORTE
IN
01
—
000000857581
BCBS BMG GOSHEN
IN
01
—
000000884798
BCBS BMG ELKHART EAST
IN
01
—
169380076
MEDICARE PTAN
IN
05
—
201162730
—
IN
01
—
P01371333
RR MEDICARE
IN
Enumeration date
01/25/2006
Last updated
05/01/2023
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