Individual
HIRA RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4003 DANBURY DR, CHAMPAIGN, IL 61822-7707
(443) 622-8193
Mailing address
4003 DANBURY DR, CHAMPAIGN, IL 61822-7707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125064425
IL
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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