Provider Demographics
NPI:1972639003
Name:RIZVI, SYED ASIF RAZA (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED ASIF
Middle Name:RAZA
Last Name:RIZVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ASIF
Other - Middle Name:R
Other - Last Name:RIZVI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1414
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-3414
Mailing Address - Country:US
Mailing Address - Phone:919-363-7576
Mailing Address - Fax:919-363-7572
Practice Address - Street 1:1001 W WILLIAMS ST
Practice Address - Street 2:SUITE 102
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-3978
Practice Address - Country:US
Practice Address - Phone:919-363-7576
Practice Address - Fax:919-363-7572
Is Sole Proprietor?:No
Enumeration Date:2007-02-25
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9401482207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCDO5729OtherMEDICARE RAILROAD
NCP00691553OtherMEDICARE RAILROAD
2209506BMedicare PIN
NCDO5729OtherMEDICARE RAILROAD
G00574Medicare UPIN