Individual
SYED AMIR RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 PRESKITT RD STE 500, DECATUR, TX 76234-4101
(940) 626-8630
(940) 626-8631
Mailing address
1816 S FM 51, SUITE 400, #137, DECATUR, TX 76234-3784
(940) 626-8630
(940) 626-8631
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P0283
TX
207RP1001X
Pulmonary Disease Physician
Primary
P0283
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
P0283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290670301
—
TX
01
—
290670305
MEDICAID - WCCA
TX
01
—
8CY759
BCBS
TX
01
—
8JH882
BCBSTX - WCCA
TX
Enumeration date
08/15/2005
Last updated
06/07/2022
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