Provider Demographics
NPI:1205818135
Name:RIZVI, NAZIA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAZIA
Middle Name:
Last Name:RIZVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1543 STATE ROUTE 27
Mailing Address - Street 2:SUITE 15
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4015
Mailing Address - Country:US
Mailing Address - Phone:732-220-0049
Mailing Address - Fax:732-354-0486
Practice Address - Street 1:1543 STATE ROUTE 27
Practice Address - Street 2:SUITE 15
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4015
Practice Address - Country:US
Practice Address - Phone:732-220-0049
Practice Address - Fax:732-354-0486
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07629400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine