Individual
DR. FAWAD H RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
23800 ORCHARD LAKE RD STE 200, FARMINGTON HILLS, MI 48336-2562
(248) 654-8492
(248) 710-2200
Mailing address
23800 ORCHARD LAKE RD STE 200, FARMINGTON HILLS, MI 48336-2562
(248) 654-8492
(248) 710-2200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101016547
MI
208VP0000X
Pain Medicine Physician
Primary
5101016547
MI
208VP0014X
Interventional Pain Medicine Physician
5101016547
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12149649
CAQH
MI
01
—
1700107349
BCBS TYPE 1 (IND) NPI #
MI
01
—
5101016547
STATE LICENSE #
MI
01
—
5315047618
CDS #
MI
01
—
5820929
BCBS TYPE 1 PIN # IND
MI
01
—
MI3786-001
MEDICARE IND PIN #
MI
Enumeration date
06/17/2010
Last updated
01/19/2026
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