Kazemi, Mustafa Michael
Kazemi, Mustafa Michael is an sole proprietor health care provider with primary practice located at 5401 Norris Canyon Rd 308, San Ramon CA 94583. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kazemi, Mustafa Michael can be contacted via phone (925) 866-8822.Contact Information
Primary practice address
5401 Norris Canyon Rd 308
San Ramon CA 94583
Phone: (925) 866-8822
Fax: (925) 866-8323
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G 61310 | California |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G 61310 | California |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G 61310 | California |
Profile Details
NPI number | 1861479768 |
---|---|
LBN Legal business name | Kazemi, Mustafa Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 30th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1861479768 | NPPES |
California | MEDICAID | 00G613101 |
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