Individual
MR. MOINUDDIN KAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4480 N SHALLOWFORD RD, STE 200, DUNWOODY, GA 30338
(770) 455-8285
(770) 350-8973
Mailing address
2803 PRIESTCLIFF DR, SMYRNA, GA 30080
(770) 434-5061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042868
GA
207Q00000X
Family Medicine Physician
GA 042868
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000776432E
—
GA
Enumeration date
09/28/2006
Last updated
12/08/2009
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