Provider Demographics
NPI:1437565256
Name:RIZZARDI, CHAD JOSEPH (DPM)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:JOSEPH
Last Name:RIZZARDI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 KEMPSVILLE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3927
Mailing Address - Country:US
Mailing Address - Phone:757-395-1880
Mailing Address - Fax:757-995-7051
Practice Address - Street 1:844 KEMPSVILLE RD STE 104
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3927
Practice Address - Country:US
Practice Address - Phone:757-395-1880
Practice Address - Fax:757-995-7051
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301226213E00000X, 213ES0103X
PASC006570213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist