Provider Demographics
NPI:1861494221
Name:RIZVI, SYED AMIR (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:AMIR
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 1:1816 S FM 51
Mailing Address - Street 2:SUITE 400, #137
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3784
Mailing Address - Country:US
Mailing Address - Phone:940-626-8630
Mailing Address - Fax:940-626-8631
Practice Address - Street 1:902 PRESKITT RD STE 500
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-4101
Practice Address - Country:US
Practice Address - Phone:940-626-8630
Practice Address - Fax:940-626-8631
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0283207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX290670301Medicaid
TX290670305OtherMEDICAID - WCCA
TX8CY759OtherBCBS
TX8JH882OtherBCBSTX - WCCA