Provider Demographics
NPI:1588638621
Name:KAZMI, NARJIS SEYYED (MD)
Entity Type:Individual
Prefix:
First Name:NARJIS
Middle Name:SEYYED
Last Name:KAZMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BIBI
Other - Middle Name:NARJIS
Other - Last Name:KHATOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2799 W GRAND BLVD # 417
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2608
Mailing Address - Country:US
Mailing Address - Phone:313-916-8144
Mailing Address - Fax:313-916-8144
Practice Address - Street 1:2799 W GRAND BLVD # 417
Practice Address - Street 2:MC 426
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-8144
Practice Address - Fax:313-916-8144
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301076793208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4665300Medicaid
MI4665329Medicaid
MI110D111790OtherBCBSM
MI4665276Medicaid
P00189990OtherRAILROAD MEDICARE
MI110D111790OtherBCBSM
P00189990OtherRAILROAD MEDICARE