Provider Demographics
NPI:1558626234
Name:REZK, AMIR N (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:N
Last Name:REZK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:170 AMENDMENT AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3073
Mailing Address - Country:US
Mailing Address - Phone:803-324-7607
Mailing Address - Fax:803-324-4097
Practice Address - Street 1:170 AMENDMENT AVE
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732
Practice Address - Country:US
Practice Address - Phone:803-324-7607
Practice Address - Fax:803-324-4097
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCMD51882207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology