Kamil, Mazin Hazim
Kamil, Mazin Hazim is an individual health care provider with primary practice located at 15 Remington Place Ct , Ballwin MO 63021-6369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kamil, Mazin Hazim can be contacted via phone (094) 122-2052.Contact Information
Primary practice address
15 Remington Place Ct
Ballwin MO 63021-6369
Phone: (094) 122-2052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2018042518 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2018042518 | Missouri |
Profile Details
| NPI number | 1063020626 |
|---|---|
| LBN Legal business name | Kamil, Mazin Hazim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2020 |
| Last updated | Jul 20th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063020626 | NPPES |
| Missouri | MEDICAID | 0000 |
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