Individual
AIVAN QAYS KAKOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
8378 JUNE LAKE DR, SAN DIEGO, CA 92119-3102
(619) 672-8591
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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