Organization
IMTIAZ KAZI FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMTIAZ KAZI M.D. (OWNER)
(614) 445-7755
Entity
Organization
Contact information
Practice address
1460 S HIGH ST, COLUMBUS, OH 43207-1047
(614) 445-7755
Mailing address
200 BRADENTON AVE, DUBLIN, OH 43017-7515
(614) 793-1980
(614) 793-1985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-06-6089-K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0970374
—
OH
Enumeration date
03/07/2007
Last updated
08/22/2020
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