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Individual

DR. IMRAN KAZEM

Active
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Individual

DR. IMRAN KAZEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01063605A
IN
2085R0202X
Diagnostic Radiology Physician
36483
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001144399
ANTHEM PROVIDER NUMBER
IN
05
192198
AZ
01
1Z7086
HEALTH NET OF ARIZONA
AZ
05
300010466
IN
01
AZ0221810
BCBSAZ
AZ
Enumeration date
10/23/2006
Last updated
02/18/2021
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