Provider Demographics
NPI:1821861576
Name:KAZMI, SYED H
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:H
Last Name:KAZMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4116 CLEVELAND PL
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-1344
Mailing Address - Country:US
Mailing Address - Phone:504-874-7413
Mailing Address - Fax:
Practice Address - Street 1:4116 CLEVELAND PL
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-1344
Practice Address - Country:US
Practice Address - Phone:504-874-7413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6224153342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company