Healthcare Provider Details
I. General information
NPI: 1336298298
Provider Name (Legal Business Name): HR KAZMI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2007
Last Update Date: 09/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3933 COFFEE RD STE. A
BAKERSFIELD CA
93308-5024
US
IV. Provider business mailing address
PO BOX 81447
BAKERSFIELD CA
93380-1447
US
V. Phone/Fax
- Phone: 661-588-9999
- Fax: 661-588-9041
- Phone: 661-588-9999
- Fax: 661-588-9041
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HASHIM
KAZMI
Title or Position: OWNER
Credential: MD
Phone: 661-588-9999