Provider Demographics
NPI:1780290114
Name:NAEEM, RIZWAN CHAWDRI (MBBS)
Entity type:Individual
Prefix:DR
First Name:RIZWAN
Middle Name:CHAWDRI
Last Name:NAEEM
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1635 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2600
Mailing Address - Country:US
Mailing Address - Phone:718-405-8101
Mailing Address - Fax:718-931-3637
Practice Address - Street 1:1635 POPLAR ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2600
Practice Address - Country:US
Practice Address - Phone:718-405-8101
Practice Address - Fax:718-931-3637
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY96149207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics