Provider Demographics
NPI:1750501623
Name:KAZMI, ASIF SAEED (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIF
Middle Name:SAEED
Last Name:KAZMI
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 1:1120 STATE HIGHWAY 77
Mailing Address - Street 2:SUITE NO. 1, 2ND FLOOR
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-9027
Mailing Address - Country:US
Mailing Address - Phone:870-733-1177
Mailing Address - Fax:
Practice Address - Street 1:1120 STATE HIGHWAY 77 STE 1
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-9046
Practice Address - Country:US
Practice Address - Phone:870-733-1177
Practice Address - Fax:870-702-6128
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43447207RN0300X
ARE-5513207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARE-5513OtherLICENSE
TN43447OtherLICENSE