Provider Demographics
NPI:1225023948
Name:RIZVI, AKBAR (MD)
Entity Type:Individual
Prefix:DR
First Name:AKBAR
Middle Name:
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:5236 W UNIVERSITY DR STE 1000
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-8106
Practice Address - Country:US
Practice Address - Phone:972-542-8609
Practice Address - Fax:972-542-8613
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2049207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01393345OtherRAILROAD MEDICARE
TXP00452226OtherRAILROAD MEDICARE
TX178439903Medicaid
TX083503501Medicaid
TX0385910001Medicare NSC
TX360413YKYCMedicare PIN
G16982Medicare UPIN
TX8D7556Medicare PIN
TXP00452226OtherRAILROAD MEDICARE
TX0385910003Medicare NSC
TX0385910002Medicare NSC