Provider Demographics
NPI:1043521487
Name:RIZVI, ASIM ARIF (MD)
Entity type:Individual
Prefix:DR
First Name:ASIM
Middle Name:ARIF
Last Name:RIZVI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8837 PATHFINDER RD
Mailing Address - Street 2:
Mailing Address - City:BREINIGSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18031-1299
Mailing Address - Country:US
Mailing Address - Phone:909-569-7909
Mailing Address - Fax:
Practice Address - Street 1:1624 S GRAND AVE
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-5433
Practice Address - Country:US
Practice Address - Phone:626-859-2249
Practice Address - Fax:626-859-2248
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1238312084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry