Healthcare Provider Details

I. General information

NPI: 1306266176
Provider Name (Legal Business Name): MEGAN MARIE KAZI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN MARIE ROBERTS M.D.

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

961 PANORAMA TRL S STE 1
ROCHESTER NY
14625-2311
US

IV. Provider business mailing address

961 PANORAMA TRL S STE 1
ROCHESTER NY
14625-2311
US

V. Phone/Fax

Practice location:
  • Phone: 585-381-4848
  • Fax: 585-641-2205
Mailing address:
  • Phone: 585-381-4848
  • Fax: 585-641-2205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number314662
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number78150
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: