Kazi, Abdul W
Kazi, Abdul W is an individual health care provider with primary practice located at 211 S 3Rd St , Belleville IL 62220-1915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kazi, Abdul W can be contacted via phone (618) 234-2120.Contact Information
Primary practice address
211 S 3Rd St
Belleville IL 62220-1915
Phone: (618) 234-2120
Fax: (618) 222-4768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-060945 | Illinois |
Profile Details
| NPI number | 1164609913 |
|---|---|
| LBN Legal business name | Kazi, Abdul W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2008 |
| Last updated | Apr 3rd, 2013 - about 11 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 | 1164609913 | NPPES |
| Illinois | MEDICAID | 036060945 |
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