Provider Demographics
NPI:1497169221
Name:KAZI, AASIF ABDULQADER (MD)
Entity Type:Individual
Prefix:MR
First Name:AASIF
Middle Name:ABDULQADER
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 1:11234 ANDERSON ST
Mailing Address - Street 2:ROOM 2586A
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2804
Mailing Address - Country:US
Mailing Address - Phone:909-558-7884
Mailing Address - Fax:909-558-4819
Practice Address - Street 1:11234 ANDERSON ST
Practice Address - Street 2:ROOM 2586A
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2804
Practice Address - Country:US
Practice Address - Phone:909-558-7884
Practice Address - Fax:909-558-4819
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116030998207Y00000X
CAA175180207Y00000X
GARPH 024880183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No183500000XPharmacy Service ProvidersPharmacist