| Syed M Rizvi Md Llc | |
|
340 N Middletown Rd Media PA 19063-5505 | |
| (610) 891-5840 | |
| Not Available |
| Full Name | Syed M Rizvi Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 340 N Middletown Rd, Media, Pennsylvania |
| Authorized Official Name and Position | Syed M Rizvi (PRESIDENT) |
| Authorized Official Contact | 6102912269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syed M Rizvi Md Llc Po Box 162 Wynnewood PA 19096-0162 Ph: (610) 291-2269 | Syed M Rizvi Md Llc 340 N Middletown Rd Media PA 19063-5505 Ph: (610) 891-5840 |
| NPI Number | 1013048354 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 09/25/2009 |
| Medicare PECOS PAC ID | 4082710686 |
|---|---|
| Medicare Enrollment ID | O20070427000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013048354 | NPI | - | NPPES |
| 1642940 | Other | HIGHMARK BLUE SHIELD | |
| 2862828000 | Other | AMERIHEALTH PPO | |
| 7401590 | Other | AETNA | |
| 1948986 | Other | PREMIER BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD421641 (Pennsylvania) | Primary |
| Provider Name | Syed Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033128137 PECOS PAC ID: 9931172616 Enrollment ID: I20040819000866 |
| Provider Name | Lisa K Rooney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154347623 PECOS PAC ID: 2860491511 Enrollment ID: I20070425000306 |
| Provider Name | Ashley J Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063141208 PECOS PAC ID: 9638551773 Enrollment ID: I20220805000335 |
| Provider Name | Sharon T Bell East |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902524101 PECOS PAC ID: 4082945498 Enrollment ID: I20230112000833 |
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