Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 26487 | SC |
N | 111NI0900X | Internist | 26487 | SC |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 26487 | SC |
NPI | 1033186754 |
---|---|
Provider Name | Dr. Ali Abbas Rizvi |
First Address | Atlanta, GA 30374-3904 |
Second Address | Columbia, SC 29203-6876 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 12/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G08357 | (02) | |
G45326 | (05) | SC |