Provider Demographics
NPI:1861785982
Name:RIZK, LEVI (DO)
Entity type:Individual
Prefix:
First Name:LEVI
Middle Name:
Last Name:RIZK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 PARK DR
Mailing Address - Street 2:PO DRAWER Z
Mailing Address - City:HOT SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:24445-2921
Mailing Address - Country:US
Mailing Address - Phone:540-839-7197
Mailing Address - Fax:
Practice Address - Street 1:106 PARK DR
Practice Address - Street 2:PO DRAWER Z
Practice Address - City:HOT SPRINGS
Practice Address - State:VA
Practice Address - Zip Code:24445-2921
Practice Address - Country:US
Practice Address - Phone:540-839-7197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02006575A207Q00000X
MN70326207Q00000X
FLUO2486207Q00000X
LA329091207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine