1538514450 NPI number — MISS KHIZRAN RIZVI M.D.

Table of content: MISS KHIZRAN RIZVI M.D. (NPI 1538514450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538514450 NPI number — MISS KHIZRAN RIZVI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIZVI
Provider First Name:
KHIZRAN
Provider Middle Name:
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538514450
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1978 INDUSTRIAL BLVD. CHABERT MEDICAL CENTER
Provider Second Line Business Mailing Address:
INTERNAL MEDICINE RESIDENCY PROGRAM
Provider Business Mailing Address City Name:
HOUMA
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70363
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-873-2710
Provider Business Mailing Address Fax Number:
982-873-2722

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1978 INDUSTRIAL BLVD. CHABERT MEDICAL CENTER
Provider Second Line Business Practice Location Address:
INTERNAL MEDICINE RESIDENCY PROGRAM
Provider Business Practice Location Address City Name:
HOUMA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-873-2710
Provider Business Practice Location Address Fax Number:
982-873-2722
Provider Enumeration Date:
04/28/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD61504986 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 11948A , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)