Provider Demographics
NPI:1164440293
Name:KAZI, S JAFFREY (MD,)
Entity Type:Individual
Prefix:
First Name:S
Middle Name:JAFFREY
Last Name:KAZI
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8761 E BELL RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1315
Mailing Address - Country:US
Mailing Address - Phone:480-219-6662
Mailing Address - Fax:480-219-6596
Practice Address - Street 1:8761 E BELL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1315
Practice Address - Country:US
Practice Address - Phone:480-219-6662
Practice Address - Fax:480-219-6596
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ31610207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZF45682Medicare UPIN
AZF45682Medicare UPIN