Individual
DR. OMAR KAZMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142
(262) 948-6640
(262) 948-6647
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64486-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048019
—
WI
Enumeration date
04/11/2011
Last updated
09/09/2024
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