Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 043754 | GA |
NPI | 1013900349 |
---|---|
Provider Name | Hasan Abbas Rizvi |
First Address | Albany, GA 31701-2057 |
Second Address | Albany, GA 31701-2057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 07/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000839385A | (05) | GA |
G55687 | (02) | GA |