Provider Demographics
NPI:1053341586
Name:RIZVI, SEEMA SAMI (MD)
Entity type:Individual
Prefix:
First Name:SEEMA
Middle Name:SAMI
Last Name:RIZVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12602-0426
Mailing Address - Country:US
Mailing Address - Phone:845-440-7455
Mailing Address - Fax:
Practice Address - Street 1:1491 ROUTE 52 STE 48
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1634
Practice Address - Country:US
Practice Address - Phone:845-440-7455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211717207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G80402Medicare UPIN
NY53V032Medicare ID - Type Unspecified