Individual
NADEEM RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3034
(814) 375-3384
Mailing address
PO BOX 1125, MARYLAND HEIGHTS, MO 63043-0125
(888) 731-1036
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2005032250
MO
207L00000X
Anesthesiology Physician
Primary
MD469110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-515-681-5
ECFMG
—
01
—
203133
BCBS OF MISSOURI (GROUP #)
MO
05
—
207547308
—
MO
01
—
37570
ABA
—
01
—
P00298359
RR MEDICARE
—
Enumeration date
05/18/2006
Last updated
05/12/2025
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