| S M Hammad Rizvi M D Inc | |
|
901 San Bernardino Rd Ste 104 Upland CA 91786-4993 | |
| (909) 946-0844 | |
| (909) 982-4770 |
| Full Name | S M Hammad Rizvi M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 901 San Bernardino Rd Ste 104, Upland, California |
| Authorized Official Name and Position | Syed M Rizvi (OWNER) |
| Authorized Official Contact | 9099460844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S M Hammad Rizvi M D Inc 901 San Bernardino Rd Ste 104 Upland CA 91786-4993 Ph: (909) 946-0844 | S M Hammad Rizvi M D Inc 901 San Bernardino Rd Ste 104 Upland CA 91786-4993 Ph: (909) 946-0844 |
| NPI Number | 1700022464 |
|---|---|
| Provider Enumeration Date | 12/31/2008 |
| Last Update Date | 10/08/2018 |
| Medicare PECOS PAC ID | 7113080680 |
|---|---|
| Medicare Enrollment ID | O20090109000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700022464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A96440 (California) | Primary |
| Provider Name | Syed M H Rizvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669677365 PECOS PAC ID: 4486734860 Enrollment ID: I20080110000582 |
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