Provider Demographics
NPI:1093823726
Name:KAZI, SARWAT ABID (MD)
Entity Type:Individual
Prefix:DR
First Name:SARWAT
Middle Name:ABID
Last Name:KAZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 S MECHANIC ST
Mailing Address - Street 2:P.O. BOX 388
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-1606
Mailing Address - Country:US
Mailing Address - Phone:315-493-9400
Mailing Address - Fax:315-493-9401
Practice Address - Street 1:111 S MECHANIC ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-1606
Practice Address - Country:US
Practice Address - Phone:315-493-9400
Practice Address - Fax:315-493-9401
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150932-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00726178Medicaid