Individual
MASSUMA KAZEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, BLDG C #208, DALLAS, TX 75230-2505
(972) 566-7677
(972) 566-6141
Mailing address
4323 LAREN LN, DALLAS, TX 75244-6710
(972) 566-7677
(972) 566-6141
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G6540
TX
Other
Enumeration date
09/21/2006
Last updated
07/09/2007
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