RIZWANA THANAWALA MD PA NPI 1194945097

NPI Information

  • NPI: 1194945097
  • Provider Name: RIZWANA THANAWALA MD PA
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 4367 NW AMERICAN LN
    LAKE CITY, FL
    ZIP 32055
  • Phone: (386) 758-6094

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NPI Details

RIZWANA THANAWALA MD PA is a gastroenterology internal medicine in Lake City, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. RIZWANA THANAWALA MD PA NPI is 1194945097. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4367 NW AMERICAN LN
LAKE CITY, FL
ZIP 32055-828
Phone: (386) 758-6094
Fax: (386) 758-6995

The provider's authorized official is Rizwana Thanawala .
The authorized official title is Owner and has the following contact phone number (386) 758-6094.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 1/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
174502OTHERFLORIDABCBS GROUP ID
2K5363MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP NUMBER
3266910200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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