Healthcare Provider Details

I. General information

NPI: 1457361768
Provider Name (Legal Business Name): ALAMDAR H KAZMI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S RAISINVILLE RD
MONROE MI
48161-9754
US

IV. Provider business mailing address

1001 S RAISINVILLE RD
MONROE MI
48161-9754
US

V. Phone/Fax

Practice location:
  • Phone: 734-243-7340
  • Fax:
Mailing address:
  • Phone: 734-243-7340
  • Fax: 567-686-1468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35077383
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: