Provider Demographics
NPI:1134185788
Name:QAZI, ASIF Q (MD)
Entity type:Individual
Prefix:
First Name:ASIF
Middle Name:Q
Last Name:QAZI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 E MAIN ST STE 3400
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-1246
Mailing Address - Country:US
Mailing Address - Phone:614-322-9640
Mailing Address - Fax:614-322-9641
Practice Address - Street 1:8050 E MAIN ST STE 3400
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-1246
Practice Address - Country:US
Practice Address - Phone:614-322-9640
Practice Address - Fax:614-322-9641
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-088357207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2682128Medicaid
OHH14299Medicare UPIN
OH4189861Medicare PIN