Individual
MAHMOOD MEHDI KAZMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3329 BAINBRIDGE AVE, BRONX, NY 10467-2801
(718) 515-4347
(718) 653-8641
Mailing address
4234 BRONX BLVD, FRNT 1, BRONX, NY 10466-2669
(718) 515-4347
(718) 653-8641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200168
NY
2084P0800X
Psychiatry Physician
Primary
200168
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01611518
—
NY
01
—
0H1337
HEALTH NET OF NORTHEAST
NY
01
—
11130
HIP CMO
NY
01
—
134046855
TAX ID#
NY
01
—
1361624
UNITED HEALTH CARE
NY
01
—
196107
MANAGED HEALTHNET
NY
01
—
200168
HIP
NY
01
—
5282148
AETNA
NY
01
—
5751811002
CIGNA
NY
01
—
MK0298BB10
BC/BS
NY
01
—
P909239
OXFORD
NY
Enumeration date
04/25/2006
Last updated
01/01/2024
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