Healthcare Provider Details

I. General information

NPI: 1760657845
Provider Name (Legal Business Name): NAZIA N QAZI M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DC VA MEDICAL CENTER 50 IRVING ST NW GI/HEPATOLOGY/NUTRITION 151W
WASHINGTON DC
20422-0001
US

IV. Provider business mailing address

270 E 78TH ST APT 8
NEW YORK NY
10075-2077
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-8151
  • Fax:
Mailing address:
  • Phone: 347-683-4944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number002904
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: