Provider Demographics
NPI:1053443119
Name:SHERIF L. RIZK MD PC
Entity Type:Organization
Organization Name:SHERIF L. RIZK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:L
Authorized Official - Last Name:RIZK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-681-8114
Mailing Address - Street 1:532 S AIKEN AVE
Mailing Address - Street 2:SUITE 501
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1521
Mailing Address - Country:US
Mailing Address - Phone:412-681-8114
Mailing Address - Fax:412-681-8277
Practice Address - Street 1:532 S AIKEN AVE
Practice Address - Street 2:SUITE 501
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1521
Practice Address - Country:US
Practice Address - Phone:412-681-8114
Practice Address - Fax:412-681-8277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038122E208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018850330001Medicaid
PAC31565Medicare UPIN
PA0018850330001Medicaid