Individual
DR. SYED A RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606
(843) 237-3378
(843) 237-5073
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(706) 475-5076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043753
GA
207R00000X
Internal Medicine Physician
200601929
NC
208M00000X
Hospitalist Physician
Primary
043753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007508350
—
GA
01
—
1457V
BCBS OF NC
NC
01
—
39021509859
BCBS
GA
01
—
P00200217
RAILROAD MEDICARE
GA
Enumeration date
01/30/2006
Last updated
06/13/2018
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