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Individual

SAFWAN KAZMOUZ

Active
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Individual

SAFWAN KAZMOUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
14925
NH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301062135
MI
261Q00000X
Clinic/Center
A65580
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0808272492
BLUE CROSS BLUE SHIELD
MI
05
3095219
NH
05
4123626
MI
Enumeration date
07/07/2005
Last updated
08/01/2024
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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