Provider Demographics
NPI:1538149828
Name:RIZVI, SADIQ HUSAIN (MD)
Entity type:Individual
Prefix:DR
First Name:SADIQ
Middle Name:HUSAIN
Last Name:RIZVI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:29992 NORTHWESTERN HWY
Mailing Address - Street 2:STE C
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3292
Mailing Address - Country:US
Mailing Address - Phone:248-851-1430
Mailing Address - Fax:248-851-5182
Practice Address - Street 1:1213 MASON ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2841
Practice Address - Country:US
Practice Address - Phone:313-274-2525
Practice Address - Fax:313-274-5540
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2018-11-06
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Provider Licenses
StateLicense IDTaxonomies
MI4301039824207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI700H222490OtherBLUE SHIELD/BCN
MI1538149828Medicaid
MIE50452Medicare UPIN
MI1538149828Medicaid