Provider Demographics
NPI:1801003124
Name:KAZI, DAANISH A (DO)
Entity Type:Individual
Prefix:DR
First Name:DAANISH
Middle Name:A
Last Name:KAZI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:29101 HEALTH CAMPUS DR STE 450
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5267
Mailing Address - Country:US
Mailing Address - Phone:440-827-5299
Mailing Address - Fax:440-827-5263
Practice Address - Street 1:29101 HEALTH CAMPUS DR STE 450
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5267
Practice Address - Country:US
Practice Address - Phone:440-827-5299
Practice Address - Fax:440-827-5263
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2020-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34.013102208600000X
IN02003822A208600000X
MI5101015419208600000X
FLOS 11844208600000X
MO2013012267208600000X
SC849208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery