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Individual

FAHIM A KAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
98 SHAKER RD, EAST LONGMEADOW, MA 01028
(413) 525-1554
(413) 525-7764
Mailing address
354 BIRNIE AVE STE 202, SPRINGFIELD, MA 01107-1109
(413) 733-3470
(413) 732-4216

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
222714
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2100762
MA
Enumeration date
02/15/2006
Last updated
05/21/2008
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