Provider Demographics
NPI:1720092877
Name:RIZK, SIMON GEORGES (MD)
Entity Type:Individual
Prefix:
First Name:SIMON
Middle Name:GEORGES
Last Name:RIZK
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 1:4300 HOSPITAL ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PASCAGOULA
Mailing Address - State:MS
Mailing Address - Zip Code:39581-5329
Mailing Address - Country:US
Mailing Address - Phone:228-762-7875
Mailing Address - Fax:228-762-7876
Practice Address - Street 1:4300 HOSPITAL ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PASCAGOULA
Practice Address - State:MS
Practice Address - Zip Code:39581-5329
Practice Address - Country:US
Practice Address - Phone:228-762-7875
Practice Address - Fax:228-762-7876
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19420207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease