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Individual

MOHAMMAD KAZMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
515 S FAIRMONT AVE, LODI, CA 95240-3834
(209) 334-8570
Mailing address
515 S FAIRMONT AVE, LODI, CA 95240-3834
(209) 334-8570

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
18563
AZ
2084N0400X
Neurology Physician
Primary
18563
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00144918
RAILROAD MEDICARE
AZ
Enumeration date
08/10/2005
Last updated
05/21/2021
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