Provider Demographics
NPI:1083863872
Name:RIZVI, ALI AMJAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:AMJAD
Last Name:RIZVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 SLATE CREEK DR
Mailing Address - Street 2:APARTMENT 4
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-3829
Mailing Address - Country:US
Mailing Address - Phone:716-566-6176
Mailing Address - Fax:
Practice Address - Street 1:ROSWELL PARK CANCER INSTITUTE PATHOLOGY
Practice Address - Street 2:ELM ST AND CARLTON ST
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14263-0001
Practice Address - Country:US
Practice Address - Phone:716-845-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program