Provider Demographics
NPI:1841761418
Name:KAZMI, NIDA ZEHRA
Entity Type:Individual
Prefix:
First Name:NIDA
Middle Name:ZEHRA
Last Name:KAZMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29386 STRATHMORE DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2398
Mailing Address - Country:US
Mailing Address - Phone:732-595-6497
Mailing Address - Fax:
Practice Address - Street 1:29386 STRATHMORE DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-2398
Practice Address - Country:US
Practice Address - Phone:732-595-6497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician