Healthcare Provider Details

I. General information

NPI: 1134122914
Provider Name (Legal Business Name): AMER M. KAZI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 HOLLYWOOD RD STE 230
SAINT JOSEPH MI
49085-9158
US

IV. Provider business mailing address

3950 HOLLYWOOD RD STE 230
SAINT JOSEPH MI
49085-9158
US

V. Phone/Fax

Practice location:
  • Phone: 269-985-0000
  • Fax: 269-985-0360
Mailing address:
  • Phone: 269-985-0000
  • Fax: 269-985-0360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number4301082068
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number01059304A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number01059304A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: