Kazmouz, Safwan
Kazmouz, Safwan is an sole proprietor health care provider with primary practice located at 25 Circle Dr Apt A , Tiburon CA 94920-2180. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Allopathic & Osteopathic Physicians / Geriatric Medicine. Ambulatory Health Care Facilities / Clinic/Center is his primary health care specialty. Kazmouz, Safwan can be contacted via phone (734) 718-1749.Contact Information
Primary practice address
25 Circle Dr Apt A
Tiburon CA 94920-2180
Phone: (734) 718-1749
Fax: (415) 888-8006
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | A65580 | California |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 4301062135 | Michigan |
Profile Details
NPI number | 1245238922 |
---|---|
LBN Legal business name | Kazmouz, Safwan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 7th, 2005 |
Last updated | Sep 8th, 2008 - about 17 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 | 1245238922 | NPPES |
Michigan | MEDICAID | 4123626 | |
Michigan | Other | 0808272492 |
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