Provider Demographics
NPI:1841483609
Name:RIZVI, AMNA ARIF (MD)
Entity type:Individual
Prefix:
First Name:AMNA
Middle Name:ARIF
Last Name:RIZVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1335 CYPRESS ST
Mailing Address - Street 2:#205
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-3537
Mailing Address - Country:US
Mailing Address - Phone:909-594-7233
Mailing Address - Fax:909-598-9503
Practice Address - Street 1:1335 CYPRESS ST
Practice Address - Street 2:#205
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-3537
Practice Address - Country:US
Practice Address - Phone:909-594-7233
Practice Address - Fax:909-598-9503
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA101920207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology