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Individual

ABDUL SAMI QAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 948-4000
(574) 948-5454
Mailing address
5218 BECK DR STE 12, ELKHART, IN 46516-9132
(574) 335-7700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01079521A
IN
208M00000X
Hospitalist Physician
Primary
01079521A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001142877
BCBS
IN
05
300009791
IN
Enumeration date
12/28/2006
Last updated
07/14/2021
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