Provider Demographics
NPI:1154564326
Name:RIZVI, FAREEDA NAQVI (MD)
Entity type:Individual
Prefix:DR
First Name:FAREEDA
Middle Name:NAQVI
Last Name:RIZVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FAREEDA
Other - Middle Name:
Other - Last Name:RIZVI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:13227 FALLS RD
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1411
Mailing Address - Country:US
Mailing Address - Phone:410-560-0189
Mailing Address - Fax:410-560-2809
Practice Address - Street 1:13227 FALLS RD
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-1411
Practice Address - Country:US
Practice Address - Phone:410-560-0189
Practice Address - Fax:410-560-2809
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0031967208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics