Provider Demographics
NPI:1538514450
Name:RIZVI, KHIZRAN (MD)
Entity Type:Individual
Prefix:MISS
First Name:KHIZRAN
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 1:1978 INDUSTRIAL BLVD. CHABERT MEDICAL CENTER
Mailing Address - Street 2:INTERNAL MEDICINE RESIDENCY PROGRAM
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70363
Mailing Address - Country:US
Mailing Address - Phone:985-873-2710
Mailing Address - Fax:982-873-2722
Practice Address - Street 1:1978 INDUSTRIAL BLVD. CHABERT MEDICAL CENTER
Practice Address - Street 2:INTERNAL MEDICINE RESIDENCY PROGRAM
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363
Practice Address - Country:US
Practice Address - Phone:985-873-2710
Practice Address - Fax:982-873-2722
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61504986207R00000X
390200000X
WY11948A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program