MEDICARE: DR. TOSHINOBU KAZUI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	TL137	AZ

General Provider Information

NPI Number	:	1205174794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TOSHINOBU KAZUI M.D.

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:	RM. 4302 P.O. BOX 245071
City	:	TUCSON
State	:	AZ
Zip	:	85724-5071
Country	:	US
Telephone Number	:	520-626-7806
Fax Number	:	520-626-4042

Provider Business Practice Location Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-5071
Country	:	US
Telephone Number	:	520-626-7806
Fax Number	:	520-626-4042

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2013
Last Update Date	:	02/26/2016

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