Provider Demographics
NPI:1306004460
Name:ASLAM, RIZWAN (DO)
Entity Type:Individual
Prefix:DR
First Name:RIZWAN
Middle Name:
Last Name:ASLAM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:SL 59
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-5454
Mailing Address - Fax:504-988-7846
Practice Address - Street 1:1430 TULANE AVE
Practice Address - Street 2:SL-59
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-5454
Practice Address - Fax:504-988-7846
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.009560207YS0123X
LADO.000218207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery