Basic Information
| Provider Information | |||||||||
| NPI: | 1497169221 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAZI | ||||||||
| FirstName: | AASIF | ||||||||
| MiddleName: | ABDULQADER | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11234 ANDERSON ST. | ||||||||
| Address2: | ROOM 2586A | ||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095587884 | ||||||||
| FaxNumber: | 9095584819 | ||||||||
| Practice Location | |||||||||
| Address1: | 11234 ANDERSON ST. | ||||||||
| Address2: | ROOM 2586A | ||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095587884 | ||||||||
| FaxNumber: | 9095584819 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2014 | ||||||||
| LastUpdateDate: | 12/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 0116030998 | VA | Y | Allopathic & Osteopathic Physicians | Otolaryngology | 183500000X | RPH 024880 | GA | N | Pharmacy Service Providers | Pharmacist |
No ID Information.