Mazur, Kai Uwe

Mazur, Kai Uwe is an individual health care provider with primary practice located at 1405 Montgomery Dr , Santa Rosa CA 95405-4557. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Mazur, Kai Uwe can be contacted via phone (707) 546-1922.

Contact Information

Primary practice address
1405 Montgomery Dr Santa Rosa CA 95405-4557
Phone: (707) 546-1922
Fax: (707) 546-1987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G72305 California
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X G72305 California

Profile Details

NPI number 1558304188
LBN Legal business name Mazur, Kai Uwe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 17th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558304188 NPPES
California Other 00G723050 CIGNA DME
California Other G72305 CIGNA DME
California MEDICAID 00G723050 CIGNA DME

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