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:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15730 NEW HAMPSHIRE CT STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-5539
Mailing Address - Country:US
Mailing Address - Phone:239-341-6136
Mailing Address - Fax:
Practice Address - Street 1:15730 NEW HAMPSHIRE CT STE 101
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-5539
Practice Address - Country:US
Practice Address - Phone:239-341-6136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02003822A208600000X
MI5101015419208600000X
FLOS 11844208600000X
SC849208600000X
OH34.013102208600000X
MO2013012267208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery