Organization
KIAN M KAZ MD EYE PHYSICIAN & SURGEON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIAN MONICA KAZ MD (OWNER/PRESIDENT)
(757) 875-7700
Entity
Organization
Contact information
Practice address
12690 MCMANUS BLVD, NEWPORT NEWS, VA 23602-4433
(757) 875-7700
(757) 875-7721
Mailing address
12690 MCMANUS BLVD, NEWPORT NEWS, VA 23602-4433
(757) 875-7700
(757) 875-7721
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101058286
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006305750
—
VA
01
—
026179
CIGNA
VA
01
—
117671
ANTHEM BCBS
VA
01
—
464665
MAMSI
VA
01
—
52357
OPTIMA HEALTH
VA
Enumeration date
08/23/2005
Last updated
09/04/2008
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