Provider Demographics
NPI:1336380385
Name:RIZVI, SYED AZHAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:AZHAR
Last Name:RIZVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:389 WASHINGTON ST
Mailing Address - Street 2:#16K
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-8957
Mailing Address - Country:US
Mailing Address - Phone:201-312-7888
Mailing Address - Fax:
Practice Address - Street 1:44 TORBAY RD
Practice Address - Street 2:SUITE 210
Practice Address - City:ST. JOHN'S
Practice Address - State:NEWFOUNDLAND
Practice Address - Zip Code:A1A2G4
Practice Address - Country:CA
Practice Address - Phone:709-726-0701
Practice Address - Fax:709-726-0734
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2362562084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry