Provider Demographics
NPI:1619598844
Name:KAZIM, SYED FARAZ FARAZ (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SYED FARAZ
Middle Name:FARAZ
Last Name:KAZIM
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF NEUROSURGERY, MSC 10-5615
Mailing Address - Street 2:UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-3160
Mailing Address - Fax:505-272-9427
Practice Address - Street 1:DEPARTMENT OF NEUROSURGERY, MSC 10-5615
Practice Address - Street 2:UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-3160
Practice Address - Fax:505-272-9427
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program