Healthcare Provider Details

I. General information

NPI: 1245551597
Provider Name (Legal Business Name): NAJIYAH N. KAZI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 09/13/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 LANDMARK DR STE 217-219
GLEN BURNIE MD
21061-4987
US

IV. Provider business mailing address

1306 CONCOURSE DR STE 201
LINTHICUM MD
21090-1033
US

V. Phone/Fax

Practice location:
  • Phone: 410-766-0111
  • Fax: 480-556-0447
Mailing address:
  • Phone: 410-384-9311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberD90864
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number53161
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: