Provider Demographics
NPI:1144276361
Name:RIZVI, ZULFIQAR HAIDER (MD)
Entity type:Individual
Prefix:DR
First Name:ZULFIQAR
Middle Name:HAIDER
Last Name:RIZVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7270 W COLLEGE DR STE 60463
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1154
Mailing Address - Country:US
Mailing Address - Phone:708-603-7598
Mailing Address - Fax:708-589-9059
Practice Address - Street 1:12251 S 80TH AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1256
Practice Address - Country:US
Practice Address - Phone:708-371-1030
Practice Address - Fax:708-371-6567
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3649644207RN0300X
IL036.049644207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036049644Medicaid
IL036049644Medicaid