Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD448237 | PA |
Y | 111NI0900X | Internist | MD448237 | PA |
NPI | 1003064031 |
---|---|
Provider Name | Bushra Rizvi |
First Address | Erie, PA 16507-1471 |
Second Address | Erie, PA 16507-1471 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2008 |
Last Update Date | 25/05/2021 |