Provider Demographics
NPI:1932414166
Name:RIZVI, BILAL ASHHAR MAHMOOD (MD)
Entity Type:Individual
Prefix:
First Name:BILAL
Middle Name:ASHHAR MAHMOOD
Last Name:RIZVI
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:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:EAST BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16029
Mailing Address - Country:US
Mailing Address - Phone:724-284-7470
Mailing Address - Fax:724-284-4470
Practice Address - Street 1:1 HOSPITAL WAY
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4670
Practice Address - Country:US
Practice Address - Phone:724-285-0823
Practice Address - Fax:724-285-0879
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD469931207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine